Waterside Grange

Waterside Grange is a care home providing personal and nursing care. It can accommodate up to 83 people. At the time of our inspection there were 58 people using the service.

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

Quality monitoring systems were in place; however, these were not always effective. Some areas of improvement we identified during the inspection were not highlighted as part of the providers quality monitoring systems. For example, we found infection control shortfalls particularly in the kitchenette areas and lack of fridge temperature monitoring. We were also concerned risks in relation to weight loss were not being managed safely and the mealtime experience for people living with dementia, was poor.

Following our inspection, the registered manager took action to address these concerns. However, new systems and approaches required embedding into practice.

During our inspection we found there were sufficient staff available to meet people’s needs. However, some staff, relatives and people commented there were times when staffing levels were short. The registered manager was in the process of recruiting more staff.

People received medication as prescribed. Staff received training and competency assessments. However, we identified some shortfalls which had not been identified by the audit systems.

The home was predominantly clean; however, we found some areas which required deep cleaning.

Accidents and incidents were recorded, and action was taken to reduce future risks. The registered manager kept a record of safeguarding concerns and could evidence actions they had taken to protect people.

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 told us they felt supported and received appropriate training to complete their role. We observed staff interacting with people and found they were kind, caring and supportive. Staff knew people well and were aware of people’s preferences.

The registered manager had a system in place to ensure complaints were effectively managed.

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 01 July 2022, and this is the first inspection.

The last rating for the service under the previous provider was good, published on 07 January 2022.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Enforcement

We have identified breaches in relation to risk management and governance and leadership.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.