Watts Healthcare Ltd

We were not assured that the provider had been admitting people safely to the service. People had not always been isolated for the required amount of time on admission. We signposted the provider to resources to develop their approach. Staff wore personal protective equipment (PPE) and followed guidance to make sure this was disposed of safely. Staff had access to PPE whenever they needed it. The service was clean, and all areas of the service were regularly cleaned.

Systems to manage the risk of legionella infection were not robust. Empty room flushing had not been carried out as required. The registered manager made improvement to the processes and systems within the service during the inspection, such as implementing the required water flushing of empty rooms. They also arranged for a contractor to attend the service and carry out a legionella risk assessment and checks.

People were protected from abuse and avoidable harm. Staff had received training to make sure they had the information they needed to keep people safe. Risks to people's individual health and wellbeing had been assessed and were well managed. People's medicines were well managed. If people or their relatives wanted to complain they knew how to do so.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service was well-led. The management team carried out the appropriate checks to ensure that the quality of the service was continuously reviewed, improved and evolved to meet people's changing needs. The registered manager promoted an open culture and was a visible presence in the service, staff felt listened to and valued.

People were treated with dignity and respect. People's views about how they preferred to receive their care were listened to and respected. People told us staff were kind and caring.

People had access to a range of different activities throughout the week. People told us that they took part in these and that they were enjoyable. Activities were also provided for people who received their care and treatment in bed.

People received good quality care, support and treatment including when they reached the end of their lives. People had been involved in planning and discussions about their wishes and preferences in relation to their end of life care.

When people needed medical attention, this was quickly identified, and appropriate action was taken. For example, if people were losing weight referrals were made to dieticians, or if people fell regularly, they were referred to a fall's clinic.