Waterside Care Centre

Updated 26 January 2024

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 3 inspectors.

Service and service type

Waterside Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Waterside Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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. 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 sought feedback from the local authority on the quality of care provided by the service. We used all this information to plan our inspection.

During the inspection

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 to us. We spoke with the registered manager, 1 nurse, 3 care staff members and the activities co-ordinator. We obtained feedback from 3 people living at the service and 1 relative visiting a person on the day of the inspection. After the inspection we obtained feedback from 4 relatives of people living at Waterside Care Centre. We reviewed a range of records. They included staff files containing recruitment, training and supervision information, and people’s electronic care plans containing care and medicine records, risk assessments, 5 people’s care plans and reviews. We checked a variety of records relating to the management of the service, including audits, quality assurance, accidents, and incidents.

Updated 26 January 2024

About the service

Waterside Care Centre is registered to provide nursing and personal care for up to 47 people. This is a purpose-built home where care and support are provided to people aged 65 and over, including people living with dementia. At the time of the inspection 37 people were living at the home.

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

People were safeguarded and protected from the risk of avoidable harm. Staff demonstrated good infection prevention and control practice. There were sufficient staff to provide responsive and unhurried care. Medicines were managed safely, however, management and storage of topical creams required improvement. We have made a recommendation about management of topical creams.

People received an assessment when they joined the service to support the development of a care plan. 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. Staff helped people maintain a balanced diet and manage health conditions with support from other professionals as needed.

Staff were caring, compassionate and kind. Staff understood how to support people in a way that promoted their privacy, independence and dignity. The service sought to meet people's needs in relation to equality and diversity.

There was a positive and open culture, and the management team were approachable. There were systems in place to ensure people received good quality care. Staff were able to share their views about the service and people and their relatives were also able to five give feedback.

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 (published 14 July 2023).

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 inspection was carried out to follow up on action we had told the provider to take at the last inspection. We had carried out an unannounced comprehensive inspection of this service on 11 May 2023. Breaches of legal requirements had been found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, to meet people's nutritional and hydration needs, to ensure fit and proper persons employed and to improve good governance.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection by selecting the ‘All inspection re-ports and timeline’ link for Waterside Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.