Background to this inspection
Updated
16 January 2020
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.
Inspection team
This inspection was carried out by one inspector.
Service and service type
OSJCT Watersmead 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 service had a manager registered with the Care Quality Commission. This means that 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 reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with five people who use the service and two people’s relatives. We spoke with eight members of staff for their feedback. This included the registered manager, care staff, activities coordinator, chef and housekeeper. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with one visiting health care professional.
We reviewed a range of records. This included five people’s care plans and daily notes, as well as multiple medicines records. We looked at four staff recruitment files, the staff training matrix, and a variety of records relating to the management of the service. This included audits, accident and incident records, and complaints.
After the inspection
We received feedback from four people’s relatives and two health care professionals.
Updated
16 January 2020
About the service
OSJCT Watersmead is a residential care home providing personal care to 48 people aged 65 and over at the time of the inspection. The service can support up to 50 people.
OSJCT Watersmead is a single-storey purpose-built building. People had access to a large communal dining area, as well as a kitchen and lounge. The home had a hairdressing room and enclosed garden.
People’s experience of using this service and what we found
The home needed to be redecorated due to a lot of wear and tear. A full refurbishment was scheduled to take place in early 2020.
People were supported by kind and friendly staff. The staff knew people’s needs and preferences well. We observed dignified and respectful interactions and saw people enjoying staff company. We received positive feedback from people and relatives about the staff team.
The chef knew what food people liked and designed the menu options based on what people enjoyed. People told us they enjoyed the meals and we saw people being offered food and drink throughout the day.
There was a range of activities and social opportunities for people to participate in.
People were supported to have choice and control of their lives. 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 care plans, these documented their needs and preferences, with guidance for staff. Care plans were regularly reviewed. People had allocated staff members responsible for keeping the plans up to date.
Risks to people’s safety and wellbeing were assessed. Risk reducing measures were put in place. When accidents and incidents occurred, reflective meetings took place to see if anything could be done different to prevent it happening again.
People’s medicines were managed safely. There were regular audits and stock checks taking place and a lead staff member oversaw medicines management at the service.
Audits of the service highlighted any areas for improvement and these were acted upon. The registered manager had a good managerial oversight of the service. Staff spoke positively about the support they received from the registered manager and head of care.
Staff were trained to meet people’s needs. The staff team worked well together and with health and social care professionals. When people’s needs changed, staff made referrals to the appropriate care service for additional support.
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 23 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.