Updated 6 March 2019
The inspection:
• We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
• Two inspectors and an Expert by Experience conducted the inspection on day one. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Day two of the inspection was carried out by one inspector.
Service and service type:
• Water Royd Nursing Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
• The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
• Day one of the inspection was unannounced.
What we did when preparing and carrying out the inspection:
• We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us above, such as serious incidents; and we sought feedback from the local authority and professionals who work with the service. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
• During the inspection, we spoke with four people who used the service, and six relatives to ask about their experience of the care provided. In addition, we spoke with two visiting healthcare professionals during the inspection.
• We spoke with ten members of staff, which included including the deputy manager, five members of care staff, activities co-ordinator, chef, maintenance and domestic staff. We spoke with the registered manager and quality compliance inspector during the inspection.
• We reviewed a range of records. This included three people’s care records and multiple medication records. We also looked at three staff files in relation to recruitment and supervision records, records relating to the management of the home and variety of policies and procedures developed and implemented by the provider.
• Following inspection we received information of concern from an external source and used the information received as intelligence. We investigated the concerns raised with us as part of our overall inspection process and were satisfied the provider was compliant with the regulations.