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We are carrying out a review of quality at Watson House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating


Updated 3 March 2017

This was an unannounced inspection which took place on 03 January 2017.

Watson House is a residential care home which is registered to provide a service for up to seven people with learning disabilities and other associated difficulties. Some people had developed needs relating to the ageing process. There were seven people living there on the day of the visit. The service offers accommodation in a purpose built house which offers ground floor accommodation.

There is a registered manager running the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Their knowledge and understanding contributed to keeping people, themselves and others as safe as possible.

People were kept safe because general risks and risks to individuals were identified and action was taken to reduce them as much as possible. There were enough staff on duty to ensure people were supported safely. The recruitment procedures were robust and made sure, that as far as possible, staff were safe and suitable to work with the people who live in the home. Medicines were given safely, in the right amounts and at the right times by trained and competent staff.

People’s health and well-being needs were well met by staff who responded very effectively to people’s changing needs. The service sought advice from and worked very closely with health and other professionals to ensure they met people’s health and well-being needs to a very high standard.

Peoples’ human and civil rights were understood, and upheld by the staff and registered manager of the service. The service understood the relevance of the Mental Capacity Act 2005, Deprivation of Liberty Safeguards (DoLS) and consent issues which related to the people in their care. The Mental Capacity Act 2005 legislation provides a legal framework that sets out how to act to support people who may not have capacity to do so. People were supported to make as many decisions and have as much control over their lives as they were able to.

People’s care was provided by extraordinarily kind, caring and committed staff who were exceptionally attentive and knowledgeable. Individualised care planning ensured the staff team used a highly person centred approach and people’s equality and diversity was always respected. People were provided with a lifestyle they thoroughly enjoyed because it was individually designed according to their needs, abilities and preferences.

The service was exceptionally responsive to people and met their needs in a totally person centred way. People were given the opportunity to enhance their lifestyle by participating in a wide variety of activities that they really enjoyed.

People received outstanding person centred care which was overseen by a highly thought of and exceptionally committed registered manager. She listened and responded to people, staff and others and upheld extremely high standards and values. The registered manager was described as totally approachable and always supportive. The high quality of care the service provided was assessed, reviewed, improved and developed to enhance people’s lifestyle.

Inspection areas



Updated 3 March 2017

The service was safe.

People were kept as safe as possible. Staff had been trained so they knew what to do if they thought people were not being protected from abuse.

Risks to people’s health and safety were identified and any necessary action was taken to make sure they were reduced.

Staff were trained to give people their medicine safely.

There were high staffing ratios so there were enough staff to meet people’s needs and keep them safe.

Only staff, who had been thoroughly checked and were suitable and safe to work with the people in the service, had been employed.



Updated 3 March 2017

The service was very effective.

People’s individual needs were met by a well-trained and knowledgeable staff team.

People were helped to stay as happy and healthy as possible.

Staff made sure people’s rights were upheld and they met the legal requirements if people were not able to make certain decisions for themselves.

People were supported and encouraged to make as many choices and decisions about their daily lives, as they could.



Updated 3 March 2017

The service was extraordinarily caring.

People were very happy to be living in the home.

People were supported by extremely kind, caring and committed staff.

People were treated with the greatest respect and dignity at all times.

People’s individual needs and lifestyle choices were recognised and respected.

The service made sure that people’s communication methods were understood so staff could respond to people in the way they preferred.



Updated 3 March 2017

The service was extremely responsive

Staff helped people with their care in a way which met people’s current and immediate needs.

People’s changing needs were identified very quickly and action was taken to ensure care was appropriate and up-to-date.

Care was remarkably person centred and took into account people’s personal choices and preferences.

Staff worked hard to maintain people’s relationships with families and others who were important to them.

People were supported to choose and participate in activities that they really enjoyed.



Updated 3 March 2017

The service was very well-led.

The service was very well managed and staff were supported to achieve high standards and offer the very best care to people.

The registered manager knew people and their needs well and made sure staff met them.

People, staff and others involved with the service were listened to and their ideas and views were acted upon, if possible.

The quality of care the service was providing was monitored and action was taken to develop the service to enhance people’s lifestyle.