Waxham House is registered to provide accommodation with personal care for up to 20 people who have needs associated with increased age and physical disabilities. At the time of our inspection there were 19 people living in the home. The service is set over three floors and has a range of communal areas for people to use, including a communal lounge, quiet lounge and dining area. At the last inspection on 17 & 24 November 2015, the service was rated Good. At this inspection we found the service remained Good.
There was a registered manager in place at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run.
People and their families told us they felt the home was safe. Staff and the registered manager had received safeguarding training and were able to demonstrate an understanding of the provider’s safeguarding policy and explain the action they would take if they identified any concerns.
The risks relating to people’s health and welfare were assessed and these were recorded along with actions identified to reduce those risks in the least restrictive way. They were personalised and provided sufficient information to allow staff to protect people whilst promoting their independence.
There were sufficient numbers of staff on duty to support people with their assessed needs and provide care to people in a relaxed and unhurried manner.
The registered provider and registered manager followed safe and robust recruitment procedures. Staff were appropriately trained to meet the needs of the people using the service. Staff were supervised in their roles and received an annual appraisal to aide their personal development.
There were suitable systems in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and assessments. Healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.
People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people, when necessary in a patient and friendly manner.
Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.
Staff developed caring and positive relationships with people, were sensitive to their individual choices and treated them with dignity and respect. People were encouraged to maintain relationships that were important to them.
Care plans were individualised and person centred. Plans were reviewed regularly to ensure planned care was current and up to date. People and when appropriate their families were involved in discussions about their care planning, which reflected their assessed needs.
There was an opportunity for families to become involved in developing the service and they were encouraged to provide feedback on the service provided both informally and through questionnaires. They were also supported to raise complaints should they wish to.
People’s families told us they felt the home was well-led and were positive about the registered manager and provider who understood their roles and responsibilities. Staff were aware of the provider’s vision and values, how they related to their work and spoke positively about the culture and management of the home.
There were systems in place to monitor quality and safety of the home provided. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence.