CQC report explained · a nursing home
What the CQC found at Waters Park House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2020
Inspected but not rated; inspectors found safe, caring support and effective management, with a recommendation about staff changing clothes on site.
This was an unannounced targeted inspection on 17 November 2020. Inspectors checked concerns about staffing, training, supervision, recruitment, medicines, care plans, safeguarding, complaints, audits and management. They also checked infection prevention and control.
People appeared relaxed and comfortable with staff. Inspectors found enough staff, safe medicines procedures, suitable safeguarding systems and care plans that included risk guidance. The building was clean and infection control arrangements followed coronavirus guidance.
The home was inspected but not rated at this visit. The previous overall rating was Good, published on 6 April 2018. This visit did not assess the whole service, so the previous ratings were not changed.
Caring staff
People appeared comfortable with staff, who spent time talking with them and supporting positive interactions.
“People were relaxed and comfortable with staff and interacted well with each other.” from the report
Safe medicines
Medicines were given safely and on time. Staff had training and records were checked regularly.
“Medicines were managed safely and records regularly audited.” from the report
Staffing and support
Inspectors found enough staff to meet people's needs. Staff said they received supervision and updated training and felt supported by managers.
“Staff felt respected, valued and supported and said they were fairly treated.” from the report
Infection control
The home was clean and had procedures covering visitors, social distancing, protective equipment, testing and infection outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Personalised care
Care plans included guidance about people's individual needs, preferences and what support would be needed during a Covid-19 outbreak.
“The provider's systems ensured people received person-centred care which met their needs and reflected their preferences.” from the report
Staff changing clothes
minorStaff wore their uniforms at work. The home and staff were discussing changing clothes on site at the beginning and end of shifts to reduce infection risks, but this was not yet in place.
“We recommend that the provider takes further measures to mitigate risk by encouraging and supporting staff to change their clothes on site” from the report
- 01Have staff started changing clothes at the home at the beginning and end of each shift?
- 02How do you make sure there are enough trained staff on every shift, including when agency staff are used?
- 03How often are medicines records and audits checked, and how are any problems resolved?
- 04How are care plans and risk assessments updated when a person's needs change or there is a Covid-19 outbreak?
- 05How will you keep families informed about safe visiting arrangements?
This was a targeted inspection of specific concerns and infection prevention measures, mainly under Safe and Well-led; it did not assess the full five key questions and did not change the previous Good rating. This explanation was written from the published report of 11 December 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, April 2018
Waters Park House was rated Good; inspectors found safe, kind and personalised care, with earlier problems fully addressed.
This was an unannounced, comprehensive inspection on 12 and 13 March 2018. Inspectors spoke with people, relatives, staff and a GP. They reviewed six people's care records and checked medicines, equipment, premises and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine systems, skilled staff and care that was tailored to people's needs.
The home had previously been rated Requires Improvement in February 2017. The earlier problems with risk assessments, care records, quality monitoring and notifications had been addressed in full by this inspection.
Earlier problems fixed
The report says the concerns found at the previous inspection had been fully addressed.
“On this inspection, we found the concerns from February 2017 had been addressed in full.” from the report
Personalised rehabilitation
The multi-disciplinary team worked with people and their families on personal goals, independence and recovery.
“The MDT were passionate about the needs of people and supporting them to reach their potential in life.” from the report
Respectful care
Inspectors saw staff treating people respectfully and supporting their choices, communication and independence.
“People continued to be cared for by staff who were caring, compassionate and respectful.” from the report
Improved care records
Care records had been rewritten and audits were introduced to make sure they reflected people's current needs.
“People's care records now demonstrated their current care status and care plans were audited to check this was maintained.” from the report
Safe medicines
Medicines were administered by trained staff, with competency checks and audits. An incident involving missing medicines was reported and tighter controls were introduced.
“The safe administration of medicines was assured due to a thorough system of auditing and staff feeling errors could be reported with the expectation support would be the response.” from the report
Shared areas needed improvement
minorInspectors said the wider building, including communal areas and signage, needed attention to better support people with confusion or dementia.
“The wider building décor needed attention to enable it to reflect current guidance in respect of working with people with a level of confusion such as living with dementia.” from the report
Weekend staffing may limit activities
minorA relative said weekends could sometimes have fewer staff. The report says care was provided, but there were fewer staff available for social activities.
“Another family member said the weekends could be lower staffed sometimes but all care was given.” from the report
Further end-of-life preparation
minorStaff said more preparation would be helpful after a recent death, and further training was planned or under way.
“They described how difficult this had been and felt more preparation would be helpful.” from the report
- 01How many staff are normally available at weekends, and how does this affect activities?
- 02What changes have been made, or are planned, to the shared areas and signage?
- 03What end-of-life training have staff completed, and what further training is planned?
- 04How will you make sure care records and risk assessments remain accurate and up to date?
- 05How are families involved in setting and reviewing rehabilitation goals?
This was an unannounced comprehensive inspection covering all five key questions and included care, records, medicines, equipment, premises and quality systems. This explanation was written from the published report of 6 April 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.
Every inspection of Waters Park House
3 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- April 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 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.
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9 live-in carers within about an hour of Plymouth
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 9 years' experience on average.
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.