Background to this inspection
Updated
4 February 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by two inspectors.
Service and service type
Adult Social Care Suite - Waters Ward is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. The manager was awaiting documentation to be able to complete their registered managers application. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The inspection was unannounced on the first day and announced on the second day visit.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection-
We spoke with five people who used the service about their experience of the care provided. We spoke with three members of staff including the provider, a consultant, the manager and senior care workers. We reviewed a range of records. This included four people's care records and multiple medication records and a variety of records relating to the management of the service, including policies and procedures.
The service had been identified for use by the Local Authority as a designated care setting in response to the Winter Plan for people discharged from hospital with a positive Covid-19 status. We checked to ensure that the service was compliant with infection control and prevention measures.
After the inspection
We spoke with three relatives about their experience of the care provided. We spoke with two care workers. We reviewed additional evidence, which was received using technology such as electronic file sharing as part of this inspection.
Updated
4 February 2022
About the service
Adult Social Care Suite - Waters Ward is a residential care service within the grounds of Bridlington Hospital. The service can support up to 18 people who no longer need to be in an acute health care setting and are awaiting a package of care to return to their own home or awaiting admission to a care home. There were 12 people staying at the service at the time of our inspection. Eight of these beds will be used as part of the designated scheme.
People’s experience of using this service and what we found
People were not always receiving a service that provided them with safe, caring, responsive, well led care. We received mixed feedback from people about their experiences at the service. Some people’s experiences were positive, however other people did not experience this same level of care or support.
Staff were not always recruited safely and appropriate checks on staff were not always completed. We have made a recommendation about this. Accidents and incidents were monitored by the provider. However, lessons learnt were not completed to support the service to avoid reoccurrence or improve practice. We have made a recommendation about this.
People were isolated upon their admission. The provider had not considered the impact of this on people’s wellbeing. We have made a recommendation about this. People lacked stimulating activities to support their wellbeing. The provider had a variety of activities available, but these were not always utilised. We have made a recommendation about this
There were sufficient staff, with the right skills to support people to remain safe. Staff used their knowledge of safeguarding systems well to support people’s recovery.
Care and support was tailored to meet people's specific needs; however, some care plans and risk assessments were not completed in a timely manner.
People were supported with their dietary needs. Staff enabled people to access health care and support services. 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.
Quality assurance systems were in place to monitor the service. The provider understood their responsibilities and notified the Care Quality Commission (CQC) when needed. Staff received support to enable them to carry out their role effectively. People, relatives and staff had a say in how the service was run. The provided worked well with others to provide people with joined up care.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 18/10/2021 and this is the first rated inspection.
Why we inspected
The inspection was prompted in part due to concerns received about medicines, staffing and management oversight. A decision was made for us to inspect and examine those risks.
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.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.