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Wayside Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 August 2019

About the service

Wayside Care Home is a care home that provides nursing and personal care for up to 31 people within one large adapted building. It provides care to people requiring general nursing care some of whom live with dementia and have physical disabilities. At the time of our inspection, 11 people were living at the home.

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

The provider and manager had worked together to make improvements since our last inspection. Work was continuing to drive through further improvements identified at this inspection. The manager understood time was needed to embed improvements and sustain these.

Staff practices to manage the risks associated with infection prevention and control needed to be strengthened further in some areas. Staff told us they had access to enough equipment to support their practices in reducing the risks of cross infections.

The provider’s arrangements to undertake regular checks on all safety aspects of the home environment needed to be completed on a more regular basis; so, any actions required were undertaken in a timely manner. Fire safety practices with one specific piece equipment needed to be undertaken by all staff which the manager was already aware of.

People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. People received their medicines regularly and systems were in place for the safe management and supply of medicines.

Sufficient, knowledgeable staff were available to meet people's needs and the manager understood when more people move into the home staffing arrangements will need to be focused on. People told us when they needed assistance, staff responded promptly so people’s safety needs were not compromised.

People's needs were assessed, and care was planned and provided to meet people's needs. Care was provided by staff with training and the manager understood this needed to be provided on a regular basis. People had a nutritious diet, and they enjoyed the food offered. Staff ensured people had enough to drink to meet their individual needs.

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

People were cared for by staff who were kind. Staff were considerate towards people they cared for. People and relatives felt involved and supported in decision making. People's privacy was respected, and their dignity maintained.

Staff were responsive to people's needs and wishes and were knowledgeable about each person. Care records were being further improved to ensure they were personalised to each person’s needs. Relatives confirmed staff knew their family members well.

The manager was continuing to support people in having opportunities to have fun to follow their interests. People had access to some entertainment they enjoyed and there were ongoing improvements to recreational activities.

People felt their concerns would be listened to and action taken to improve the service as a result.

As part of the manager and provider’s oversight of the service they were following an action plan to drive through further improvements and strengthen the effectiveness of quality monitoring systems.

We found the service met the requirements for good in three areas and requires improvement in two other areas. For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (inspection report published on 10 July 2018) and there were multiple breaches of regulation. 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

This was a planned inspectio

Inspection areas

Safe

Requires improvement

Updated 7 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 7 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 August 2019

The service was not always well-led.

Details are in our well-Led findings below.