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CQC report explained · a nursing home, run by Minster Care Group

Waterside Care Centre

Leigh Sinton, Malvern, WR13 5EQ

Goodpublished 26 January 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm, and inspectors found enough staff and good infection control. They identified problems with the storage, labelling and dating of some topical creams.
Effective?
Good
People were supported with food, drinks and health needs. Staff had improved training and induction, although some communal bathroom shower rails needed repair.
Caring?
Good
Staff were seen to be warm, kind and respectful. People were supported to make choices, maintain independence and have their privacy respected.
Responsive?
Requires improvement
The report does not give a separate rating for Responsive. It says staff provided responsive and unhurried care, but this key question was not separately rated in this inspection.
Well-led?
Good
Inspectors found effective systems for checking care quality, records, equipment and the environment. People, relatives and staff described management as approachable and the culture as open and positive.
The latest report, explained

What inspectors found, January 2024

Rated Good; inspectors found safe, kind care and clear improvements, but topical cream storage needed attention.

Inspectors made an unannounced follow-up visit over two days. They spoke with people, relatives, staff and managers. They observed care and reviewed care plans, medicines records, staff files, incidents and quality checks.

The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Inspectors found enough staff, safe care, kind support, improved food and drink support, and better systems for managing quality.

There were still some issues. Two people's topical creams were kept in unlocked bathroom cupboards, and one cream had an unreadable label and no opening date. Some communal bathroom shower rails were also broken. CQC made a recommendation about topical creams.

The previous rating was Requires Improvement, published in July 2023. The provider had been in breach of regulations at that inspection, but inspectors found enough improvement and said the home was no longer in breach.

What inspectors praised
  • Enough staff

    People, relatives and staff told inspectors there were enough staff. Inspectors found care was responsive and unhurried.

    There were sufficient staff to provide responsive and unhurried care.from the report
  • Kind and respectful care

    Staff knew people's preferences and supported their dignity, privacy, choices and independence.

    Staff were caring, compassionate and kind.from the report
  • Improved food and drink support

    People were offered meal choices, alternatives, drinks and snacks. Inspectors saw staff supporting people to eat and drink.

    People were offered choices of meals and offered alternatives.from the report
  • Better staff training

    Staff received role-specific training, completed induction and were assessed before working alone.

    New staff completed an induction and shadowed existing staff.from the report
  • Improved management systems

    Since the previous inspection, the home had strengthened its checks on care quality, records, equipment and the environment.

    At this inspection we found that there were effective systems in place to monitor the quality of care, accuracy of documentation, and safety of the environment and equipment.from the report
What inspectors were concerned about
  • Topical cream storage

    needs fixing

    Two people's topical creams were kept in unlocked bathroom cupboards. One cream had an unreadable label and no opening date, creating a risk that an out-of-date product could be used.

    One of the topical creams had an unreadable label and no date of the opening.from the report
  • Broken shower rails

    minor

    Some communal bathrooms needed repairs and modernisation. Inspectors specifically identified broken shower rails.

    For example, some shower rails were broken and required replacement.from the report
Questions to ask them, based on this report
  1. 01How are topical creams now labelled, dated when opened and stored securely?
  2. 02What action has been taken to replace the broken shower rails, and when will this be completed?
  3. 03How will you make sure the improvements found in this inspection continue?
  4. 04How do you respond when a person's care needs, health or nutrition needs change?
  5. 05How are families told about complaints, incidents or changes in their relative's care?

This was an unannounced follow-up inspection of Safe, Effective, Caring and Well-led; the overall rating used the findings from this visit and ratings for any key questions not inspected were carried over from the previous inspection. This explanation was written from the published report of 26 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Waterside Care Centre

5 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read what inspectors found at Waterside Care Centre

  2. July 2023Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. December 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2017Goodstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. October 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2010

    Registered with the Care Quality Commission on 7 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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