CQC report explained · a residential care home
What the CQC found at OSJCT Watersmead
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, risk assessments and safe medicines systems. However, there were gaps in records for prescribed creams and fortified nutritional drinks.
- Effective?
- Good
- Staff were trained and supported, and people were helped with eating, drinking and healthcare. The home worked with health and social care professionals when people's needs changed.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew people's preferences and supported choice, independence and cultural or spiritual needs.
- Responsive?
- Good
- Care plans recorded people's needs, preferences and routines. Inspectors found a varied programme of activities, support with relationships and interests, and complaints that were investigated.
- Well-led?
- Good
- Inspectors found clear leadership, positive feedback from relatives and staff, regular meetings and quality checks. Audits were used to identify and act on improvements.
What inspectors found, January 2020
Rated Good; inspectors found kind, safe and well-organised care, but medicines records and the home's condition needed attention.
This was an unannounced inspection on 3 and 4 December 2019. One inspector spoke with people, relatives, staff and health professionals. They observed care and checked care plans, medicines records, staff files, complaints, accidents and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, good risk assessments, kind care, personalised support, varied activities and strong management oversight.
There were some shortfalls. Records for prescribed creams and fortified drinks were not always complete. Areas and fixtures showed wear and tear and needed replacement or redecoration. A full refurbishment was planned for early 2020.
Kind staff
People and relatives gave positive feedback about the staff. Inspectors observed warm, respectful and person-centred interactions.
“People were supported by kind and friendly staff.” from the report
Food and drinks
People were offered choices, snacks and drinks throughout the day. Weights were monitored and the menu reflected people's preferences.
“We saw staff regularly offering drinks and snacks throughout the day.” from the report
Activities
The home offered a wide range of activities and social events. Staff adapted activities to people's interests and encouraged inclusion.
“They excel in providing residents with a vast range of activities.” from the report
Management oversight
The management team used audits, meetings and named champions to monitor care quality. Staff spoke positively about the support from management.
“There were different quality assurance and performance monitoring systems in place.” from the report
Medicine records
needs fixingRecords for some prescribed creams and fortified nutritional drinks were incomplete. The manager said plans would be put in place to improve monitoring.
“However, there were gaps in records for prescribed creams and fortified nutritional drinks.” from the report
Wear and tear
needs fixingSome areas and fixtures were damaged and needed replacement or redecoration. Inspectors said this could affect infection control during an outbreak, although a refurbishment was planned.
“Some areas and fixtures in the home were damaged due to wear and tear and needed to be replaced or redecorated.” from the report
- 01Have the gaps in records for prescribed creams and fortified nutritional drinks been fixed, and how are these records checked now?
- 02Was the full refurbishment planned for January 2020 completed, including replacement or redecoration of damaged areas and fixtures?
- 03How are activities tailored to my relative's interests, communication needs and abilities?
- 04How will my family be involved in reviewing my relative's care plan and making decisions about their care?
- 05How does the home monitor staffing levels when people's needs change?
This was an unannounced inspection that looked at the overall service, including both the premises and the care provided, and assessed all five CQC questions. This explanation was written from the published report of 16 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2017
OSJCT Watersmead is rated Good; inspectors found safe, kind and personalised care, with some records still needing closer checking.
Inspectors visited on 15 and 16 May 2017. The first visit was unannounced. They spoke with 15 people, six visitors and staff, observed care, and checked care and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives spoke positively about the care, staff and management.
Inspectors found safe medicines management, enough staff, suitable training and respectful care. Care plans had improved and were more detailed than at the previous inspection.
Some records still needed checking. These included best-interest decisions for sensor equipment and some treatment decisions. The report did not record any breaches or enforcement action.
People felt safe
People and relatives said they felt safe. Inspectors found safeguarding systems, appropriate staffing and regular safety checks.
“People told us they felt safe living in the home and relatives agreed.” from the report
Safe medicines
Medicines were stored securely and inspectors found no omissions or errors in the administration records they checked.
“Medicines were managed and administered safely and people received their medicines on time.” from the report
Kind and dignified care
Staff were observed treating people with kindness and respect. They sought consent and protected privacy during personal care.
“We observed only caring, attentive, timely and kind responses by all staff towards people.” from the report
Personalised care
Care plans included people’s histories, preferences and support needs. People were involved in planning and reviewing their care.
“The care plans were detailed and person centred.” from the report
Improvement since 2015
The home had addressed the areas that previously required improvement, including the quality of care records and understanding of the Mental Capacity Act.
“At this inspection we found the service had made the required improvements.” from the report
Listening to people
The home gathered views through meetings and surveys and acted on suggestions, including providing more shade outside.
“People were asked for their opinion about the service, especially for improvements and the registered manager acted upon this.” from the report
Some best-interest records were incomplete
needs fixingOne sensor mat did not have a recorded best-interest decision authorising its use. Another record did not explain the reason for the decision in enough detail.
“However, the sensor mat used for another person did not have a best interest decision to authorise its use” from the report
Limited one-to-one activity visits
minorPeople who stayed in their rooms were visited for activities, conversation or reading, but the timetable allowed only a weekly visit. The home was recruiting more volunteers.
“the timetable only allowed a weekly visit and this was why there was a recruitment drive for more volunteers.” from the report
- 01How do you now check that every sensor mat or other restrictive equipment has a recorded best-interest decision?
- 02How are treatment and escalation plans agreed and recorded when a person cannot make the decision themselves?
- 03How often can a person who chooses to stay in their room receive one-to-one activities or conversation?
- 04What activities are currently available seven days a week, and how are people’s individual interests supported?
- 05How do you use current feedback from residents and relatives to make improvements?
This was a comprehensive inspection covering all five question areas; it found improvements since the February 2015 inspection, when Effective and Responsive required improvement. This explanation was written from the published report of 23 June 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of OSJCT Watersmead
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- July 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 16 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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