CQC report explained · a nursing home
What the CQC found at Waterside Grange
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, July 2023
Waterside Grange was rated Requires Improvement; inspectors found kind care, but risks and quality checks were not always managed safely.
This was an unannounced first inspection of the newly registered service. Inspectors spoke with people, relatives and staff, observed care, and reviewed care records, medicines records and quality audits.
The home was rated Good for Effective, Caring and Responsive. Staff were described as kind and supportive. People were supported by staff who knew them, and their care, communication, activities and complaints systems were generally suitable.
The home was rated Requires Improvement for Safe and Well-led. Inspectors found missing risk assessments for weight loss, medicines management shortfalls, cleaning issues and poor mealtime support for some people living with dementia. Quality checks had not found all these problems.
The provider took action after the inspection, but the new systems still needed to become established in everyday practice. The provider was required to send an action plan, and CQC said it would monitor progress with the provider and local authority.
Kind and respectful staff
Inspectors saw caring and supportive interactions. People and relatives said staff were kind, welcoming and respectful.
“We found staff were caring and supportive and there was a pleasant atmosphere and friendly banter between staff and people.” from the report
Staff knew people well
Staff understood people's needs and preferences. People and relatives felt staff had the skills to provide good care.
“People were supported by staff who knew them well.” from the report
Support for choice and dignity
People were involved in decisions where possible. Staff supported independence, privacy and dignity, and the home had systems for mental capacity and best-interest decisions.
“People felt staff respected their opinions and maintained their independence.” from the report
Activities and relationships
The home provided group activities and one-to-one contact. Staff also supported people to maintain important religious and personal relationships.
“During our inspection we observed a group of people engaged in a painting session.” from the report
Weight-loss risks
seriousThree people tracked by inspectors did not have risk assessments for weight loss. This could mean staff did not have the information needed to provide safe nutritional support.
“There were no risk assessments in place to address weight loss for 3 people we tracked.” from the report
Quality checks missed problems
seriousAudits had not identified several issues, including cleaning, fridge temperatures, food labelling and the mealtime experience for people living with dementia. This was a breach of the governance regulation.
“Audits had not been instrumental in identifying or resolving the issues we found during our inspection.” from the report
Medicines procedures
needs fixingMedicines were generally given as prescribed, but inspectors found bottles without opening dates, a hot medicine room, and medicine equipment being hand washed in a sink. The manager took immediate action.
“However, we found areas which required improvement.” from the report
Mealtimes for people with dementia
needs fixingThe mealtime experience was not consistent across the home. One unit was disorganised and did not provide readily available finger foods for people living with dementia.
“However, another unit was disorganised and did not meet the needs of people living with dementia.” from the report
- 01What risk assessments and care plans are now in place for people at risk of weight loss?
- 02How do you check that medicines are stored, labelled and handled safely?
- 03What has changed at mealtimes for people living with dementia, including the availability of finger foods?
- 04How are kitchenette cleaning, fridge temperatures and food labelling checked and recorded?
- 05What evidence can you show that the new quality monitoring systems are now working consistently?
This was an unannounced first inspection covering all five CQC questions, including the premises, care provided and infection prevention and control measures. This explanation was written from the published report of 21 July 2023 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 Waterside Grange
2 rated inspections over 2 years: the service has slipped, from Good to Requires improvement.
- July 2023Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2022GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2021Inspected but not ratedSafe: GoodWell-led: Good
- July 2022
Registered with the Care Quality Commission on 1 July 2022.
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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97 live-in carers within about an hour of Rotherham
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.
Most charge £980 to £1,260 a week. 80 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Beatrice was a talent dementia carer whose professionalism and dedication allowed mums wishes to remain in her own her come true.”
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.