20 June 2023
During an inspection looking at part of the service
The Waynes -Bridlington is a residential care home providing accommodation and personal care to up to 30 people. The service provides support to older adults and people living with dementia. At the time of our inspection there were 21 people using the service.
People’s experience of using this service and what we found
Although the provider had implemented a new auditing system, this had not always been effective at identifying areas for improvement. We noted improvements in some areas but not all areas raised at the last inspection had been addressed.
Risks to people had not always been managed. Monitoring charts in place to reduce risks to people’s health were not sufficiently robust. Improvements had been made to the safety of the service in terms of the environment.
Medicines systems had improved, and a clear system was in place to ensure people received medicines in line with the prescribers instructions. Work was required to ensure all records were completed in line with best practice.
We have made a recommendation about the need for consent. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Capacity assessments and best interest decisions continued to not always be recorded.
Improvements had been made to the mealtime experience; however further work was required to ensure people with memory impairments were fully supported to make choices.
Staff received regular supervision and felt supported by the management team.
People told us they felt safe and were happy with the support they received. People and relatives spoke positively about the consistent staff who knew them well.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 1st July 2022)
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.
Why we inspected
We carried out an unannounced focused inspection of this service on 22 April 4 and 5 May 2022. Breaches of legal requirements were found and we served a Warning Notice. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Waynes- Bridlington on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified continued breaches in relation to risk management and governance at this inspection. We have made a recommendation in relation to the Mental Capacity Act (MCA).
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.