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CQC report explained · a residential care home

What the CQC found at The Waves

Goodpublished 16 October 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed, including the use of personal protective equipment, testing, cleaning, outbreak planning and visits.
Effective?
Good
This was not covered in this targeted inspection.
Caring?
Good
This was not covered in this targeted inspection.
Responsive?
Good
This was not covered in this targeted inspection.
Well-led?
Good
This was not covered in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.

This was an announced, targeted inspection on 26 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting care.

The home had measures for visitors, including health questions, temperature checks, testing, vaccination checks, masks and hand sanitiser. Staff had infection control training, and personal protective equipment was available and used properly.

Inspectors found the home clean and in good order. They were assured that the home was managing infection risks, testing, admissions, outbreaks and visits in line with the guidance in place at the time.

What inspectors praised
  • Infection control training

    Staff had received infection control training and their skills were checked regularly. Protective equipment was available and used in line with guidance.

    “Staff had received training in safe infection, prevention and control, (IPC), practices and their competencies regularly checked.” from the report
  • Visiting arrangements

    The home had several checks for visitors and professionals, including health questions, testing, vaccination evidence and protective equipment.

    “There was a procedure in place to welcome visitors to the home, face masks were available and hand sanitisers at the entrance.” from the report
  • Communication with families

    The home kept relatives informed about the rules in place during the pandemic and used pictures and objects to help explain them.

    “The service communicated well with relatives so they were aware of what was expected as per current Government guidelines.” from the report
  • Clean premises

    Inspectors found the home visibly clean and in good order, with regular cleaning of frequently touched areas.

    “The premises was visibly clean and in good order.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection control, testing and visiting arrangements are in place now?
  2. 02How do you currently check vaccination status or exemptions for visiting professionals and staff?
  3. 03What staffing pressures are you experiencing now, and how are you managing their effect on people's care?
  4. 04How would you manage an infection outbreak, and how would you keep families informed?
  5. 05How are risks assessed for outings away from the home and for visitors?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection of all five quality areas. This explanation was written from the published report of 2 February 2022 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.

An earlier report, explained

What inspectors found, October 2018

The Waves was rated Good; inspectors found safe, caring and personalised support, with improvements since earlier breaches.

This was an announced comprehensive inspection. The inspection visit took place on 12 and 14 September 2018. Inspectors reviewed care plans, medicines records, staff files, maintenance records, quality checks and meeting notes. They also spoke with staff, relatives and a social care professional, and observed how staff supported the one person living in the home.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found enough trained staff, safe medicines practice, suitable care plans, good support with health needs, and staff who treated the person with warmth, dignity and respect.

The home had previously breached regulations in 2017 over record keeping, Deprivation of Liberty Safeguards and staff skills. At this inspection, inspectors found improvements and no breaches were identified. The home had been empty for eight months before the person moved in during June 2018.

What inspectors praised
  • Safe staffing

    There were enough trained and experienced staff, with appropriate recruitment checks. Staff understood safeguarding and how to report concerns.

    “There were sufficient levels of trained and experienced staff who had worked to get to know the person well.” from the report
  • Personalised support

    Care plans reflected the person's wishes, communication, health needs and preferences. Staff supported choice and independence in daily life.

    “The person's care and support plans focussed on achieving outcomes that were meaningful to them and promoted the opportunities they had to make choices and direct their own support.” from the report
  • Kind and respectful care

    Inspectors saw genuine warmth between staff and the person. Relatives said staff were kind, caring and compassionate.

    “Care and support was provided with warmth by staff who treated the person with compassion, respect and dignity.” from the report
  • Improvements since 2017

    The provider had addressed earlier concerns about records, legal safeguards and staff skills. Inspectors found the required improvements at this inspection.

    “At this inspection we found improvements had been made.” from the report
What inspectors were concerned about
  • Limited feedback information

    minor

    Because the home had only recently reopened, it had not been open long enough to carry out a full range of satisfaction surveys. This means there was limited wider feedback available at the inspection.

    “The home had not been open for long enough since it was empty to undertake a range of satisfaction surveys” from the report
Questions to ask them, based on this report
  1. 01What changes were made after the breaches found at the June 2017 inspection, and how do you check that these improvements continue?
  2. 02How would staffing levels and support arrangements change if more people moved into the home?
  3. 03How do you involve families in reviewing care plans and decisions about a person's support?
  4. 04How do you support communication, choice and meaningful activities for someone with similar needs?
  5. 05What feedback have families provided since this inspection, given that there had not yet been enough time for a full range of satisfaction surveys?

This was an announced comprehensive inspection covering all five CQC questions; one person was living in the home at the time, and telephone calls continued up to 14 September 2018. This explanation was written from the published report of 16 October 2018 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.

The story over the years

Every inspection of The Waves

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Waves →

  2. October 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Waves →

  3. July 2017Requires improvementstayed Requires improvement
    Effective: Requires improvement

    Read this report on cqc.org.uk

  4. February 2017Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Registered with the Care Quality Commission on 24 November 2011.

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.

Next steps

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