What the CQC found at Wayside Care Home

Care plans gave staff detailed guidance about people's needs and preferences. Families were involved when care plans changed.

“People's care plans were personalised and provided detailed information to staff on how to support people in the way they preferred.” from the report

Staff were trained and checked as competent to give medicines. The medicine records inspectors reviewed showed medicines had been administered correctly.

“People were supported to take their medicines safely and as prescribed by staff who were trained to administer medicines and regularly had their competency checked to ensure correct procedures were followed.” from the report

Inspectors found that staff knew people well and respected their privacy, dignity, choices and independence.

“People's privacy, dignity and independence was respected.” from the report

People were encouraged to maintain important relationships and take part in activities that interested them. People could also choose not to join in.

“People were supported to maintain relationships important to them and were encouraged to follow their interests.” from the report

The service had improved since the previous inspection. Management checks, meetings and feedback from relatives were being used to make changes.

“The home is definitely improving and going in the right direction.” from the report

Relatives gave mixed views about staffing and some felt there were not enough staff, particularly at night and at weekends. Agency staff were used to cover vacancies, although the home tried to use the same agency staff for consistency.

“It is understaffed more so of a night than a weekend.” from the report

For one person, a pharmacist had not been involved in the decision about covert medicines. Inspectors found no harm, but said the quality of medicines could have been affected.

“Whilst we found no harm, we identified the pharmacist had not been involved in the decision-making process and in the multi-disciplinary team discussion for one person on covert medicines.” from the report

The home was clean, but some shared areas looked worn. The provider had plans for redecoration and was already painting one communal room.

“The home was clean, although some communal areas looked worn.” from the report

A relative said toilets were cleaned once a day and should be cleaned more often. The manager said cleaning schedules were being improved to include daytime frequency.

“As the residents will go to the toilets unsupervised, cleaning of toilets should be done several times a day.” from the report

Inspectors asked the manager to add more detail to care plan audits, including who was responsible for actions and when they should be completed.

“We discussed adding further information to the care plan audits to demonstrate any actions which had been taken, who these were allocated to and what timeframes had been given.” from the report