Water Royd Nursing Home

Updated 6 March 2019

The inspection:

• We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

• Two inspectors and an Expert by Experience conducted the inspection on day one. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Day two of the inspection was carried out by one inspector.

Service and service type:

• Water Royd Nursing Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

• The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

• Day one of the inspection was unannounced.

What we did when preparing and carrying out the inspection:

• We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us above, such as serious incidents; and we sought feedback from the local authority and professionals who work with the service. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

• During the inspection, we spoke with four people who used the service, and six relatives to ask about their experience of the care provided. In addition, we spoke with two visiting healthcare professionals during the inspection.

• We spoke with ten members of staff, which included including the deputy manager, five members of care staff, activities co-ordinator, chef, maintenance and domestic staff. We spoke with the registered manager and quality compliance inspector during the inspection.

• We reviewed a range of records. This included three people’s care records and multiple medication records. We also looked at three staff files in relation to recruitment and supervision records, records relating to the management of the home and variety of policies and procedures developed and implemented by the provider.

• Following inspection we received information of concern from an external source and used the information received as intelligence. We investigated the concerns raised with us as part of our overall inspection process and were satisfied the provider was compliant with the regulations.

Updated 6 March 2019

About the service:

• Water Royd Nursing Home is a care home that provides accommodation and personal or nursing care across three separate units for up to 62 people, some of whom are living with dementia. At the time of inspection 58 people lived in the service.

People’s experience of using this service:

• Most people we spoke with told us Water Royd Nursing Home was a friendly and lovely place to reside, that staff were kind and caring and were treated with respect.

• People were supported to take their medicines in a safe way and were safely managed.

• Recruitment processes were robust and thorough checks were completed before staff started working in the home. We saw there were sufficient numbers of staff on duty on make sure people’s care needs were met. Staff had received training and supervision to ensure people received appropriate care.

• The registered manager and staff knew what to do to keep people safe. Individual risks had been assessment and identified as part of the support and care planning process. One care plan was not updated in a timely manner.

• We saw nice interactions between staff and people who used the service. We saw staff respected people’s privacy and dignity.

• People’s nutritional needs were met and the menus we saw offered variety and choice. Records showed people had regular access to healthcare professionals to make sure their health care needs were met.

• A complaints procedure was in place. People and relatives told us they would have no hesitation in raising concerns. All feedback was used to make continuous improvements to the service.

• The home had good management and leadership. The registered manager was visible working with the team, monitoring and supporting staff to ensure people received the care and support they needed.

• More information is in Detailed Findings below.

Rating at last inspection:

• Requires improvement (report published 28 March 2018)

Why we inspected:

• This was a planned inspection based on the rating at the last inspection. We saw improvements had been made since our last inspection and the provider was no longer in breach of the regulation relating to medicine management. The service had improved and is now rated good overall.

Follow up:

• We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.