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Inspection Summary


Overall summary & rating

Good

Updated 16 October 2018

The Waves is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Waves is registered to accommodate up to 3 people. At the time of our inspection there was one person living in the home. There were no plans for anyone else to move in. The person had moved in at the beginning of June 2018 and before that the home at been a dormant service for 8 months because no one was living there.

When we last inspected The Waves we had concerns about how the previous person living there was supported. There were breaches of regulation. At this inspection we found improvements had been made.

There was a registered manager in post. 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 cared about the well being of the person living in the home. We received positive feedback from relatives and professionals who worked alongside the home.

There were sufficient levels of trained and experienced staff who had worked to get to know the person well. Staff understood how to identify and report abuse and were well supported in their roles. Staff received training to enable them to carry out their roles competently.

The person was supported to make choices about how they spent their day. Staff had a good knowledge and understanding of the Mental Capacity Act 2005 (MCA) and promoted independence and choice. Where the person was not able to make a specific decision, staff acted in accordance with the MCA.

The person’s health care needs were met and staff supported them to see healthcare professionals when appropriate. They were supported to take their medicines safely by staff who had received the appropriate levels of training.

The person was encouraged and supported to take part in a range of activities within the home and the locality. Within the home the environment had been adapted to enable the person to spend their time doing activities that were enjoyable and meaningful to them.

Relatives knew how to make a complaint if the needed to and felt any concerns would be taken seriously and action taken straight away.

There were quality assurance systems in place to drive improvement and ensure the home offered a safe, effective, caring and responsive service.

Inspection areas

Safe

Good

Updated 16 October 2018

The service was safe.

The person was supported by sufficient, suitably experienced and qualified staff.

Medicines were stored and administered securely.

Staff demonstrated an understanding of the signs of possible abuse. They were aware of what action to take if they suspected abuse was taking place.

Effective

Good

Updated 16 October 2018

The service was effective.

Staff received appropriate training and had on going support from senior staff.

Induction and supervision processes were in place to enable staff to receive feedback on their performance and identify further training needs.

Staff understood the requirements of the Mental Capacity Act 2005 and how this applied to their daily work.

The person was supported to maintain their health and had access to a range of healthcare professionals.

Caring

Good

Updated 16 October 2018

The service was caring.

Care and support was provided with warmth by staff who treated the person with compassion, respect and dignity.

Staff knew the person well and reflected on their understanding individually and as a team.

Relatives told us that staff were kind, caring and compassionate.

Responsive

Good

Updated 16 October 2018

The service was responsive.

The person had a personalised care plans which took account of their likes, dislikes and preferences.

Staff were responsive to changing needs.

Family views were actively sought. They felt they could raise a concern if required and were confident that these would be addressed promptly.

Well-led

Good

Updated 16 October 2018

The service was well led.

Staff felt well supported by the management team and felt comfortable to raise concerns if needed. Staff felt confident they would be listened to.

Observations and feedback from staff reflected a service with a supportive, honest, open culture.

The provider had systems and audits in place to monitor the quality of the service provided.