Latest Inspection
This is the latest available inspection report for this service, carried out on 15th February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Watersmead.
Annual service review
Name of Service: Watersmead The quality rating for this care home is: The rating was made on: two star good service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Pauline Lintern Date of this annual service review: 1 4 0 1 2 0 1 0 Annual Service Review Page 1 of 5 Information about the service
Address of service: White Horse Way Westbury Wiltshire BA13 3AU 01373826503 Telephone number: Fax number: Email address: Provider web address:
www.osjct.co.uk The Orders Of St John Care Trust Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Number of places (if applicable): Under 65 Over 65 0 0 1 14 35 0 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Watersmead was purpose built as a care home in 1984. It was originally owned and managed by the Local Authority. The home became part of the Orders of St John Care Trust in 1999. The home is single storey, built in a square figure of eight shape, which has the effect of dividing it up into smaller areas. Some rooms and facilities have views over courtyard gardens, others look over the external garden areas, which means rooms are light and airy. All accommodation is in single rooms, one premium room having en suite facilities. Watersmead has a secluded location on a housing estate, with sheltered housing next door. The home has ample parking and is a short level walk from the town centre. Westbury has good public transport connections including a main line railway station. New manager in post Annual Service Review Page 2 of 5 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home completed an AQAA and sent this to us when we asked for it. The AQAA gave us information about what the home does well and the improvements that have been made in the last 12 months. Within the AQAA we were told that the homes strengths include: All residents receive the necessary information about Watersmead to enable them to make informed choice about moving into Watersmead. Most admissions to the home in the past year have been successful. Watersmead has a holistic approach to care of its residents ensuring that they are treated as individuals, have choice about how they live their lives, have the opportunity to live fulfilled lives and are involved in the care planning process. Watersmead offers an extensive range of activities including group and individual activities and supports residents to keep in touch with family, friends and the local community. We encourage and assist all residents in our person centered care. The home provides good quality home cooked food and a choice of menu. Watersmead is a purpose built building and offers a suitable, homely and comfortable environment. We have a dedicated team of staff with different skills and experiences; I provide regular support and guidance to the staff team. I am very positive and enthusiastic about the care Watersmead provides to our residents. They also told us how they have improved since the last inspection, for example, the Activity Co-ordinator has improved on the range of physical activities, emotional stimulation and social contact for the residents living at Watersmead. Another area where improvements have been identified relates to staff training, all staff receive mandatory training and additional training to support their work, 80 percent of the care staff holds N.V.Q. level 2 in health and social care and a further 11 percent are enrolled to commence N.V.Q. The staff have been allocated time when on shift to use the elearning computer without comprise to the residents. They identified areas where they could do better, we are actively looking for volunteers and this is ongoing and we continue to develop links with the local Annual Service Review Page 3 of 5 community. We were told how equality and diversity are promoted by the service, our staff are well trained and we have a specific Trust training module on Equality and Diversity, all new staff are initially introduced to this subject on their induction. All staff work to the Trusts core values which are respect, choice, privacy, fulfillment, dignity and security. Our activity programme and range of social events embraces the individual preferences and wishes of our residents and we revise this regularly through the resident meetings, individual feed back and change of resident in the home. We have a staff group of mixed skills that all residents can benefit from. All care staff undertake the Alzheimers Society Accredited Quality Dementia Care Course to assist in caring for residents unable to easily express their wishes, preferences and beliefs. The home told us that in the last twelve months they have received five complaints. Each of these complaints was responded to within a 28 day timescale, in line with company policy. There is an effective response to any issues regarding protection. Concerns are referred to the local multi-agency procedure. The home works in partnership with these other agencies to identify and implement actions that will help to minimise risks to service users. Since the last inspection five safeguarding referrals have been made. Within the AQAA the manager told us their plans for the future, to ensure that all staff continue to receive updates to their training of vulnerable people and abuse. To include information regarding safeguarding adults in staff meetings and supervisions, ensuring staff understand the No Secrets booklet. We looked at the information in the AQAA and our judgement is that the service is continuing to provide a good service and that they know what further improvements they need to make. What are we going to do as a result of this annual service review? Our current plan is to do a key inspection in 2011, subject to any changes in registration and inspection practice following implementation of the Health and Social Care Act 2008. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 4 of 5 Reader Information
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