29 March 2023
During an inspection looking at part of the service
Wavertree Nursing and Care Home provides accommodation and nursing/personal care for up to 46 people. At the time of our inspection there were 40 people living in the home.
People's experience of using the service and what we found
Safe recruitment processes were mostly being followed to check new applicants' suitability to work for the service. However, we identified some improvements were needed to ensure that references were obtained from suitable people and verified where needed and that any gaps in employment history were explored and explained. We have made a recommendation regarding this.
People's needs and risks to their health and safety had been assessed and care plans contained information for staff to follow to provide the right support. However, we identified some improvements were needed to the level of detail and accuracy in some people's care plans. The provider was already aware that improvements were needed to care plans and had implemented new care planning documents to address this.
Accidents and incidents were recorded and acted upon appropriately to ensure people received the right support, for example referrals to external health professionals. However, we identified that some improvements were needed to ensure that a thorough review and analysis of incidents was completed in order to look at patterns and trends and prevent them occurring in the future. Staff received safeguarding training and knew how to respond to any concerns or allegations of abuse. People told us they felt safe living at the service.
There were enough staff on duty to support people safely. Observations showed that staff responded to requests for support in a timely manner.
Relevant safety checks were completed on the environment and equipment used by people to support with their mobility needs. The home was clean and well-maintained. Domestic staff completed regular cleaning schedules to evidence tasks they had completed. Visits to the home were permitted in line with current visiting guidance for care homes.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff worked closely with external health and social care services to ensure people received the right support. Relevant referrals were completed when people's needs changed or when concerns about their health or well-being were identified.
Governance systems had identified areas in need of improvement and the provider showed us evidence of how they planned to make necessary improvements to the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 December 2018).
Why we inspected
We received concerns in relation to risk management. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led full sections of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wavertree Nursing and Care Home on our website at www.cqc.org.uk.
Follow-up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.