Waterloo House Rest Home Limited

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Governance systems were in place which had been effective in driving improvements. However, a robust process for auditing medicines records was not in place.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Audits were in place and had been effective in improving the quality of the service. However, the management team explained audits of medicines had been replaced by a ‘resident of the day’ process. We found concerns in relation to medicine records which were accepted by the management team who agreed that a robust audit would have identified concerns in medicines records and led to improvements.

Governance systems were in place and audits were taking place and actions being completed to improve the quality of the care provided, however the process for the governance of medicine records was not robust and concerns identified during the course of the assessment had not been identified by the management team. There was no evidence of any adverse impact on people.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.