What the CQC found at Waterfield Supported Homes Limited

People said staff listened to them and treated them respectfully. They were involved in everyday decisions and activities.

“People told us they were treated with respect and listened to by staff.” from the report

Inspectors found enough staff to monitor people's wellbeing and provide support. Most recruitment checks were completed appropriately.

“There are always enough staff day and night” from the report

Staff had medicines training and competency checks. Inspectors found that people received their medicines safely.

“People received their medicines safely by staff who had the right skills to do so” from the report

Risk plans, fire checks and evacuation plans were in place. The service followed the Mental Capacity Act principles and had appropriate legal authorisations where needed.

“We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place” from the report

Inspectors found substantial dirt and dust across the home, including stairwells, bathrooms and people's rooms. Mould was beginning to accumulate, and some shower heads needed replacement or descaling.

“The home was not clean. We found substantial amounts of dirt and dust throughout the service, including on stairwells, bathrooms and in people's rooms.” from the report

The provider's audits covered infection control but did not identify or deal with the cleanliness problems fully or quickly enough.

“the systems had not fully or promptly addressed issues to do with the cleanliness of the premises .” from the report

Handwritten medicines charts were sometimes used, and some inhalers appeared in daily notes rather than on the medicines chart. The provider was moving to an electronic system.

“at times handwritten MAR charts were used, which is not best practice, and sometimes inhalers were not recorded on the MAR chart” from the report