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Southwater Residential Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 19 July 2019

About the service

Southwater Residential Home is a care home providing care and accommodation for up to 12 people. The home provides support to older people. On the days of our inspection, there were four people living at the home.

The home is a large property situated in Paignton, Devon. There was a communal lounge, dining room and a front and rear conservatory. There was a garden.

People’s experience of using the service

People lived in a service that was continually improving but the governance systems in place had not yet been embedded into practice. The areas of concern we found during the inspection had not been identified by the provider’s own quality checking systems. We found aspects of the environment’s safety had not been identified as a potential risk to people. We found further improvement was required to people’s records and care plans. Prompt action was taken during the inspection period to address these areas.

People using the service benefitted from caring, dedicated staff. People we spoke with all confirmed they were happy and well looked after at Southwater Residential Home.

People and their families were placed at the heart of the service and involved in decisions as far as possible. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People’s care was provided safely. The staff team were consistent, staff knew people well and supported them to move safely around the service if needed, and when they were out of the home.

People’s medicines were well managed.

People’s risks were known and managed well, promoting independence as far as possible. However, professionals were concerned changes in people’s risk and health were not always noted promptly and acted upon swiftly.

People were protected from discrimination because staff knew how to safeguard people. People told us they felt safe. Staff knowledge of people meant they were alert to signs of change which may indicate someone was not happy.

People lived in a service which had a welcoming atmosphere and was led by a committed provider and staff team.

The service were working closely with the local authority, commissioners and primary care to improve standards of care.

Rating at last inspection:

The last rating for this service was Requires Improvement (published 13 December 2018).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. The provider had conditions on their registration which included monthly reports to the Commission.

At this inspection we found improvements had been made in many areas, however not enough improvement had been made in all areas and there was still a breach of regulations.

The last rating for this service was requires improvement. The service remains requires improvement. The service has been rated requires improvement for the last two inspections.

Why we inspected:

The inspection was prompted in part due to concerns received about people’s care, record keeping, medicine practices and people’s nutrition. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements in some areas. Please see Safe, Effective, Responsive and Well-Led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

The provider took action to mitigate the risks related to the environment and security following the inspection. They were working to address the other areas identified in inspection feedback. Monthly reporting to the Commission remains in place.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Southwater Residential Home on our website at


We have identified breaches in relation to Good Governance in the Well Led report section at this inspection.


Inspection areas



Updated 19 July 2019

The service was safe

Details are in our Safe findings below.



Updated 19 July 2019

The service was effective

Details are in our Effective findings below.



Updated 19 July 2019

The service was caring

Details are in our Caring findings below.


Requires improvement

Updated 19 July 2019

The service was not always responsive

Details are in our Responsive findings below.


Requires improvement

Updated 19 July 2019

The service was not always well-led

Details are in our Well-Led findings below.