Archived: Waterside Grange

Waterside Grange is a care home providing personal care and nursing. It can accommodate up to 83 people. There were 60 people using the service at the time of the inspection.

People’s experience of using this service:

People were safe. We observed staff ensured peoples safety. People we spoke with told us they felt safe. Staff understood safeguarding and whistleblowing procedures. We observed there were enough staff employed to meet people’s needs. Staff we spoke with also confirmed this. Accidents and incidents were effectively monitored, which ensured staff learned when things went wrong. Risks to people were identified and detailed assessments were in place, to ensure risks were managed safely. One person told us, “The staff know how to look after me and they are always there, they are lovely people.”

Largely people were protected by the prevention and control of infection, although we identified some issues at site visit. However, these were rectified immediately, and documentation was updated to ensure any areas for improvement were identified through quality monitoring. Medication systems were in place and followed by staff to ensure people received their medicines as prescribed.

Staff we spoke with were very knowledgeable about people needs. We observed that care provided was person-centred and individualised. Staff had received effective training to ensure their knowledge was up to date. Staff were supervised and supported. 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 had access to health care professionals. Staff worked closely with other professionals to ensure people's needs were met.

People we spoke with told us that staff were extremely kind and caring. Relatives we spoke with were positive about the care and support provided and spoke highly about the new manager. One relative said, “The manager is lovely, and her door is always open if I need to discuss a problem, she is always available.” Staff we spoke with understood people’s needs and described how they respected their dignity. We observed interactions between staff and people who used the service which were extremely positive, inclusive, respectful and person-centred, promoting people’s well-being. Care and support was delivered in a non-discriminatory way and the rights of people with a protected characteristic were respected.

There was a robust quality monitoring system in place. Relatives felt listened to and said complaints were appropriately dealt with and resolved. They told us their views were obtained to continually drive improvements. One relative said, “They [the staff] keep me informed and there is a personal touch.” Feedback from staff was extremely positive. Staff told us they felt much better supported with the new manager and that morale had improved and they were working as a team.

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

Rating at last inspection

This service was registered with us on 19/06/2019 and this is the first inspection.

The last rating for the service under the previous provider was Good, published on 02/03/2019.

Why we inspected

This was a planned inspection based on the previous rating.

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.

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.

Waterside Grange is a residential care home providing personal and nursing care for up to 83 people. Some people using the service were living with dementia. At the time of our inspection there were 49 people living at the home.

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

People were safeguarded from the risks of abuse. Staff received training in this area and knew how to recognise and report abuse.

Risks associated with people's care were identified and risk assessments were in place to minimise the risk.

Staff were knowledgeable about risks associated with people's care.

Accidents and incidents were monitored, and trends and patterns identified. Lessons were learned when thinks went wrong.

People received their medicines as prescribed. Competency checks were carried out and staff were knowledgeable about medicine management.

The provider had a robust recruitment procedure which ensured new starters were recruited safely.

We observed staff interacting with people and socially engaging with them. Staff we spoke with felt there were enough staff. They also told us that the management team was supportive and assisted them when needed.

The provider made sure infection control processes helped keep people safe during the COVID-19 pandemic. The home was clean and there were PPE stations situated at several point throughout the home.

The provider had managed the current pandemic well and implemented effective procedures.

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

This service was registered with us on 19/06/2019 and this is the first inspection.

The last rating for the service under the previous provider was good (published on 26 March 2019).

Why we inspected

The service had not received an inspection since registration, and we needed to ensure the service was safe. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

Additionally, the inspection looked at the Infection Prevention and Control (IPC) practices the provider has in place. This is because, as part of CQC's response to care homes with outbreaks of coronavirus, we are

conducting reviews to ensure the IPC practice was safe, and the service was compliant with IPC measures.

We reviewed the information we held about the service. We did not inspect other key questions as no areas of concern were identified in them.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Waterside Grange on our website at www.cqc.org.uk.

Follow up

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

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

Rating at last inspection

This service was registered with us on 19 June 2019 and this was the first inspection. The last rating for the service under the previous provider was good (published 26 March 2019).

Why we inspected

This was a planned inspection in line with our inspection programme. We have made changes to the way we work due to the COVID-19 pandemic. This is to avoid putting pressure on services that are caring for people.

We completed a focussed inspection. During this inspection we looked at the key questions of 'is the service safe?' and 'is the service well-led?'.

We do not look at all of the five key questions during a focussed inspection. Therefore, the service was not given an overall rating.

We looked at infection prevention and control measures under the key question of 'is the service safe?'. 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 coronavirus and other infection outbreaks effectively.

Follow up

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