CQC report explained · a residential care home
What the CQC found at Watson House Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, medicines were given safely and recruitment checks were completed. Inspectors found thick dust in some areas and recommended stronger cleaning processes.
- Effective?
- Good
- Staff were trained and supported, people's dietary needs were met and the home worked with health and social care professionals. Consent and legal safeguards were considered.
- Caring?
- Good
- People said staff were kind and caring. Inspectors saw that people were treated with dignity and respect, and were involved in decisions about their care.
- Responsive?
- Good
- Care was personalised and staff knew people's preferences. However, some care plans did not include important current information, including support for anxiety and an ongoing health condition.
- Well-led?
- Good
- The home was described as well organised, with a clear staffing structure and supportive management. Inspectors found that some action plans did not explain how concerns raised by people would be addressed.
What inspectors found, March 2020
Watson House Rest Home was rated Good; inspectors found kind, safe care but some dust and incomplete care records.
This was an unannounced inspection on 26 and 28 February 2020. One inspector spoke with four people living at the home, three staff members and reviewed care, medicines and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were happy with their care. Staff were described as kind, respectful and responsive.
Inspectors found two areas needing improvement. Some areas had thick dust and some care plans did not contain all current risk and support information. The home was asked to review its cleaning and care planning processes.
People felt safe
People told inspectors they felt safe. Staff understood how to recognise and respond to abuse, and risk assessments were in place.
“People told us they felt safe when supported by staff.” from the report
Kind and respectful staff
Inspectors saw positive relationships between people and staff. People's privacy, dignity and independence were respected.
“People were supported by caring and respectful staff.” from the report
Personalised support
Staff knew people's likes, dislikes and routines, and supported their choices. Families and friends were welcomed.
“Staff were responsive to people's needs.” from the report
Safe medicines support
People received medicines at the right time. Staff who administered medicines had suitable training and their competence was checked.
“People received their medicines when they should.” from the report
Cleaning needed improvement
needs fixingInspectors found thick dust in corridors and one occupied bedroom. The home was asked to review its cleaning processes.
“Thick dust was found in corridors and in one occupied bedroom.” from the report
Care plans were not always complete
needs fixingSome care plans did not record current needs clearly enough. This included information about managing anxiety and rescue strategies for an ongoing health condition.
“However, some care plans did not contain information about people's current needs.” from the report
Feedback action plans lacked detail
minorSome action plans based on people's feedback did not include strategies for dealing with concerns raised.
“However, we noted the action plans did not contain strategies to respond to some areas of concern.” from the report
- 01What has been done since the inspection to remove dust and keep all areas of the home clean?
- 02Have all care plans been updated to include current risks, anxiety support and rescue strategies for ongoing health conditions?
- 03How do you make sure people's feedback leads to clear action plans and follow-up?
- 04How will you make sure medicines continue to be given safely and staff competence remains up to date?
- 05How are families involved when care plans are reviewed or people's needs change?
This was an unannounced inspection covering all five CQC questions, including the accommodation and the care provided. This explanation was written from the published report of 11 March 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, September 2017
Watson House Rest Home was rated Good; inspectors found safe, kind and personalised care, with an earlier staff recruitment shortfall addressed.
This was the home’s first inspection since it was newly registered in August 2016. It was unannounced. An inspector spoke with four people living there, the manager, the provider and one staff member. They observed care, checked the building and reviewed care, staff, training and safety records.
Inspectors rated all five areas Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and comfortable. Staff were described as kind, respectful and trained. Medicines were given on time, care plans were personalised and regularly reviewed, and people were involved in decisions about their care.
The report also records that a local authority had found not all staff had initially been recruited correctly. The manager took immediate action, including putting a risk assessment in place. Inspectors found the recruitment records they checked were complete and suitable.
Safe medicines
Inspectors found personalised medicine plans, accurate records and no gaps on the medication charts. Staff gave medicines on time and had training and competency checks.
“We noted staff gave people their medicines on time and with a safe approach.” from the report
Kind and respectful care
People were involved in care planning. Staff were observed to respect privacy, dignity, culture and human rights.
“We observed staff were respectful of people's privacy and knocked on doors before entering their bedrooms.” from the report
Personalised support
Care records included people’s preferences, backgrounds and needs. Staff reviewed care plans regularly and supported people to keep as much independence as possible.
“We found documentation was personalised to the individual's needs and guided staff to meet their requirements with a person-centred approach.” from the report
Regular oversight
The manager and provider carried out audits covering areas such as medicines, recruitment, training, fire safety and infection control.
“The registered manager and provider completed a variety of audits on a regular basis to assess the safety and welfare of everyone at the home.” from the report
Earlier recruitment shortfall
needs fixingA local authority found that not all staff had initially been recruited correctly. The manager took immediate action and inspectors found the recruitment file they checked contained the required documents.
“The local authority told us they found not all staff had been recruited correctly when they carried out their contractual visit.” from the report
Limited formal feedback so far
minorA new satisfaction survey for residents and relatives had been designed, but no responses had yet been received. This meant there was limited evidence from that survey at the time of inspection.
“The registered manager told us they had designed a new satisfaction survey for people who lived at the home and their relatives. However, they had not yet received any responses.” from the report
- 01What action was taken after the earlier finding that not all staff had been recruited correctly, and how do you check that recruitment files remain complete?
- 02How many staff are normally on duty during the day and overnight, and what happens when there is sickness or planned leave?
- 03How are each resident’s care plans reviewed when their health or needs change?
- 04How do you find out what residents and relatives think now, given that no responses had been received to the new satisfaction survey at the inspection?
- 05How do you decide which activities are right for each resident, especially as there was no set activities programme?
This was an unannounced first inspection covering all five CQC questions and the overall rating; the report gives both 09 August 2017 and 11 August 2017 as inspection dates. This explanation was written from the published report of 14 September 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 Watson House Rest Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016
Registered with the Care Quality Commission on 5 August 2016.
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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32 live-in carers within about an hour of Blackpool
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 £1,250 a week. 31 can care for a couple. 12 years' experience on average.
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.