Waterloo House Care Home Limited

Updated 26 February 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 18 February 2021 and was announced. The inspection was announced prior to us entering the home, so we could ensure that measures were in place to support an inspection and manage any infection control risks. We also asked the provider to send us infection prevention and control policies and audit findings.

Updated 26 February 2021

Waterloo House Care Home Limited accommodates 24 people in one adapted building across four floors. The service offers individual bedrooms, some with ensuite toilets. There are shared bathrooms available and other communal facilities. The service supported older people and some people receiving care were people living with dementia.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that showed serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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Safe

Systems and processes to safeguard people were in place, with risk assessments and detailed care plans. Staff had good knowledge of how to support people and report any concerns. Processes for medicines management were in place and medicines were correctly administered. The registered manager shares lessons learnt from internal and external sources. There were infection control and prevention processes in place.

Effective:

Staff had received all training relevant to their role to safely meet the needs of people living in the service. All staff had completed either health and social care diplomas (HSC) or national vocational qualifications in care (NVQ). Some staff had also completed specialist training such as champion pathways and dementia awareness. Staff supported people to have maximum choice and control of their lives in the least restrictive way possible; the policies and systems in the service supported this practice. Some people had relatives who acted as Lasting Power of Attorney (LPA) to make decisions on their behalf. Appropriate tools were used for the management and monitoring of nutrition and other needs. Staff had put new initiatives in place since the last inspection. These initiatives looked at hydration and falls monitoring to try and find patterns and look for ways to reduce the number of falls.

Caring:

Staff were very caring and kind and interacted with people well. People and relatives gave positive feedback about the service, the team and the support received. Staff showed respect in the language used and attitude towards people which showed they cared in a way that maintained people’s dignity.

Responsive:

Staff offered people a choice of main activities which they could change if they did not wish to join in. People responded positively to the entertainment of live music and a pat dog that visited on the day of the inspection. People were able to make complaints and raise concerns. People also gave feedback about the service in other ways such as annual surveys. We had really positive feedback from people and relatives around how the team and the registered manager had supported people receiving end of life care. Staff were observed working well together on the day of inspection to meet peoples changing needs.

Well-Led:

We received extremely positive feedback from the team, people and relatives about the registered manager. The registered manager had a clear vision and goals for business development. The registered manager had good governance and auditing systems and very clear monitoring in place. Outcomes of audits were used by to effect change and improvements to practices and the environment.

Further information is in the detailed findings below.