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Watford House Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 14 July 2021

About the service

Watford House is a residential care home providing personal and nursing care to 37 people aged 49 and over at the time of the inspection in one adapted building. The service can support up to 43 people.

People’s experience of using this service and what we found

Governance arrangements were not consistently effective in identifying gaps in training, accident monitoring and care plan details these issues and driving improvements. People had their needs assessed and plans were put in place to meet them. However, assessments and care plans did not fully consider peoples protected characteristics.

Staff had an induction, training and the support they needed to carry out their roles, however training for administering specific medicine was out of date. This was put in place straight away after the inspection and we found medicines were administered to people safely.

People were protected from abuse and kept safe by staff that understood how to recognise the signs and report any concerns. Risks to people were assessed and plans put in place to mitigate these.

When accidents or incidents occurred, action was taken to reduce the risk of similar incidents happening again. People were supported by enough staff to meet their needs and keep them safe.

People were supported by consistent staff who knew them and their needs well. The home was adapted to meet individual needs.

Staff worked effectively with one another and staff sought support from health professionals as required to meet people health needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were communicated with effectively and were involved in making decisions about their care. Staff enabled people to make choices for themselves and were respectful in how they supported people.

People were supported in a person-centred way and were provided with a variety of opportunities to take part in activities. There was a complaint process in place which people understood how to use.

The registered manager knew people and staff well. The registered manager responded to feedback and learning to make improvements to the service and worked in partnership with other agencies.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 01 May 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about staffing levels and the quality of care people were receiving. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the effective and well led sections of this full report.

Follow up

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

Inspection areas

Safe

Good

Updated 14 July 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 July 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 July 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 July 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 July 2021

The service was not always well-led.

Details are in our well-Led findings below.