The Waynes - Bridlington

Updated 8 August 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

2 inspectors and a medicines inspector carried out this inspection. An Expert by Experience supported this inspection by making telephone calls. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The Waynes - Bridlington is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Waynes - Bridlington is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before 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. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people living at the service and 7 relatives about their experience of care provided. We spoke with 5 members of staff including the registered manager, care staff and the administrator. We reviewed care plans for 3 people and multiple medication administration records. We reviewed 3 staff files. We reviewed documents related to the governance and monitoring of the service such as audits.

Updated 8 August 2023

About the service

The Waynes -Bridlington is a residential care home providing accommodation and personal care to up to 30 people. The service provides support to older adults and people living with dementia. At the time of our inspection there were 21 people using the service.

People’s experience of using this service and what we found

Although the provider had implemented a new auditing system, this had not always been effective at identifying areas for improvement. We noted improvements in some areas but not all areas raised at the last inspection had been addressed.

Risks to people had not always been managed. Monitoring charts in place to reduce risks to people’s health were not sufficiently robust. Improvements had been made to the safety of the service in terms of the environment.

Medicines systems had improved, and a clear system was in place to ensure people received medicines in line with the prescribers instructions. Work was required to ensure all records were completed in line with best practice.

We have made a recommendation about the need for consent. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Capacity assessments and best interest decisions continued to not always be recorded.

Improvements had been made to the mealtime experience; however further work was required to ensure people with memory impairments were fully supported to make choices.

Staff received regular supervision and felt supported by the management team.

People told us they felt safe and were happy with the support they received. People and relatives spoke positively about the consistent staff who knew them well.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 1st July 2022)

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 22 April 4 and 5 May 2022. Breaches of legal requirements were found and we served a Warning Notice. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Waynes- Bridlington on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified continued breaches in relation to risk management and governance at this inspection. We have made a recommendation in relation to the Mental Capacity Act (MCA).

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.