Latest Inspection
This is the latest available inspection report for this service, carried out on 13th July 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Waterloo House Care Home Ltd.
What the care home does well We saw that the people who live at Waterloo House and the staff have good, friendly, caring relationships, and that staff treat people with respect. People living here told us they were quite content. They said the staff are good and the meals are nice. We observed lunch being served and saw that 2 people chose to eat something as an alternative to the meal on the menu. Staff appropriately assisted and encouraged some people with their meal. Each person has a care plan. We loooked at 3 care plans and found that the plans give sufficient detail for staff to be able to offer each person the care they need, in the way they want it. The plans had been regularly reviewed, and included appropriate risk assessments. Brief daily notes are kept. Staff felt that the home was able to, and did, meet the needs of all the people living here. The staff told us that several people are assisted to transfer using a standing hoist, so one is kept on the ground floor and one on the top floor. Only one person cannot stand and needs a hoist for all movement. We saw that staff were using the hoists appropriately. Staff told us they receive all the training they need. Moving and handling training was taking place in the home on the afternoon of our inspection. They also get supervision from one of the senior staff, and an annual appraisal. All the staff we spoke with had worked at the home for a number of years and all seemed proud to be working here. The home employs an activities coordinator and we saw that some activities were taking place. Staff administer medication. We looked at how this done and found everything to be satisfactory. Audits of medication are carried out daily so that mistakes, if any, can be identified and rectified quickly. The manager told us that the recommendations made by the fire officer following his visit in May 2010 had all been met. The office now has internet access. What the care home could do better: Overall, we are satisfied that Waterloo House is being managed well, and in the best interests of the people who live here. However, there are a few things the home could do better and we discussed these with the manager. The staff rota did not include agency staff, so did not accurately reflect the staff who had been working in the home. Some personal information about people who live here had been recorded in a communication book, which is not good practice. Minor defects noted in the maintenance of the building, such as a missing toilet seat, a damged commode, missing alarm pull cords, and so on must be rectified. We saw that some of the bedroom doors were (or had been) held open with items such as a towel or furniture: if the door needs to be held open, this must be done using a device approved by the fire authority. Staff personnel records held in the home must include a proof of identity, and a photograph, and all the required information about agency staff who work at the home must also be kept. We have not made requirements about these issues as we are confident that the manager and acting manager will ensure that all the issues are put right. We will check on these at our next inspection. Random inspection report
Care homes for older people
Name: Address: Waterloo House Care Home Ltd 36 Waterloo Road Bedford Bedfordshire MK40 3PQ two star good service 02/10/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nicky Hone Date: 1 3 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Waterloo House Care Home Ltd 36 Waterloo Road Bedford Bedfordshire MK40 3PQ 01234351608 F/P01234351608 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Patricia White Type of registration: Number of places registered: Conditions of registration: Category(ies) : Waterloo House Care Home Ltd care home 24 Number of places (if applicable): Under 65 Over 65 24 24 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 2 1 0 2 0 0 8 Waterloo House is located in a residential suburb of Bedford within walking distance of the town centre, which has a range of shops, riverside walks and links with national rail. It is registered to provide care services for up to twenty-four people over the age of 65, ten of who may also have dementia. The current proprietors are Mr and Mrs Camiah, who have been registered care home
Care Homes for Older People Page 2 of 8 Brief description of the care home providers for a number of years and have owned this home since 2002. The building has been converted from its original use as a domestic dwelling. The accommodation is arranged over three floors that have additional levels to the upper floors. Rooms on the upper floors are accessed by a series of staircases and a shaft lift. Care Homes for Older People Page 3 of 8 What we found:
We (the Care Quality Commission) carried out this unannounced random inspection of Waterloo House on 13/07/2010. The purpose of this inspection was to make sure that Waterloo House was being run properly, as we had recently had serious concerns about the providers other care home, Shakespeare House. At the time of this inspection the manager of Waterloo House, Patricia White had been seconded to Shakespeare House to sort out the problems and manage the home until a new manager could be appointed. The deputy manager, Alice Prince, was acting manager at Waterloo House. We spoke with a number of people during the inspection, including the manager, Patricia White (who arrived soon after we did), the deputy/acting manager, people who live here, and staff. We walked round some areas of the house, looked at some of the records the home has to keep, and checked the way medicines are administered. What the care home does well: What they could do better:
Overall, we are satisfied that Waterloo House is being managed well, and in the best
Care Homes for Older People Page 4 of 8 interests of the people who live here. However, there are a few things the home could do better and we discussed these with the manager. The staff rota did not include agency staff, so did not accurately reflect the staff who had been working in the home. Some personal information about people who live here had been recorded in a communication book, which is not good practice. Minor defects noted in the maintenance of the building, such as a missing toilet seat, a damged commode, missing alarm pull cords, and so on must be rectified. We saw that some of the bedroom doors were (or had been) held open with items such as a towel or furniture: if the door needs to be held open, this must be done using a device approved by the fire authority. Staff personnel records held in the home must include a proof of identity, and a photograph, and all the required information about agency staff who work at the home must also be kept. We have not made requirements about these issues as we are confident that the manager and acting manager will ensure that all the issues are put right. We will check on these at our next inspection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
