• Care Home
  • Care home

Watford House Residential Home

Overall: Requires improvement read more about inspection ratings

263 Birmingham Road, Shenstone Wood End, Lichfield, Staffordshire, WS14 0PD (0121) 308 1342

Provided and run by:
Watford House Residential Home Ltd

Latest inspection summary

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Background to this inspection

Updated 24 March 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was completed one inspector.

Service and service type

Watford House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

During the inspection

We spoke with four people who used the service about their experience of the care provided and two relatives. We spent time in the communal area observing the support people received. We spoke with five staff members including one carer, one senior carer, maintenance person, deputy manager and registered manager. We also spoke with one visiting social care professional. We looked at two peoples care and support plans, multiple medicines records and several documents relating to the monitoring of the location and health and safety checks. We checked the recruitment of two staff members.

After the inspection

We continued to seek clarification from the provider to validate evidence found and to confirm the action they had taken to mitigate risks to people.

Overall inspection

Requires improvement

Updated 24 March 2022

About the service

Watford House Residential Home is a care home providing support with personal care needs and accommodation for up to 43 people, aged 49 and over, in one adapted building. At the time of this inspection, 39 people were living there, some of whom were living with dementia.

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

People were not always safe as the physical environment was not safely maintained. Substances hazardous to health were left in communal areas and some staff practice did not adhere to best infection prevention and control guidance.

The provider could not evidence people received their medicines as prescribed.

The provider did not have effective quality monitoring procedures in place to drive good care.

Staff understood how to safeguard people from the risk of abuse and knew what to do if they suspected something was wrong.

People had assessments of risk associated with their care and support.

The provider had kept us informed about key events and had good working relationships with others involved in peoples care. People and staff told us they found the management team to be approachable.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 12 July 2021).

Why we inspected

We received concerns in relation to people’s safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

Following our inspection site visit the provider took action to mitigate the immediate risks to people including fire safety improvements and removal of items likely to cause harm.


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to keeping people safe and the providers monitoring of the provision of care at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.