Watermoor House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Watermoor House accommodates up to 38 people in one adapted building. There were 32 people living at Watermoor House at the time of this inspection.

We carried out this inspection following concerns raised regarding the service in October 2018, these concerns were focused on the safety of people. As a result, we undertook a comprehensive inspection to look into those concerns.

This is the first inspection of the service since it re-registered with the Care Quality Commission in May 2018. We previously inspected the home under its old registration. You can read the report from our last comprehensive inspection, by selecting the 'old profile' link for Watermoor House on our website at www.cqc.org.uk. At this inspection we found the service was meeting all the requirements and it was rated ‘Good’ overall.

There was a registered manager in place at Watermoor House. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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 service is run.

People told us they were kept safe. Risks were identified, managed and reduced. Where staff had identified risks to people’s health and wellbeing, the risk assessments and guidance around these were detailed and contained sufficient information for staff to support people to minimise risk. Staff were recruited safely and they were trained and supported to meet people’s needs effectively. People’s medicines were managed safely and they received these as prescribed. The environment was kept clean and well maintained.

People were supported by skilled staff who had received training appropriate to their role. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the home supported this practice. People’s nutritional wellbeing had been maintained and they continued to have access to health care professionals when needed.

People’s needs were assessed, care plans were developed and care was delivered in a way which met their needs and preferences. People were treated equally and their individual preferences and wishes were respected. Relatives were provided with opportunities to speak on behalf of their relative and were welcome to visit when they chose to.

Staff were kind, caring and compassionate. There were arrangements in place to help people feel included and to take part in social activities. Staff had the skills and knowledge to support people’s end of life needs.

The home was well managed and the registered manager ensured people’s needs and wishes were the primary focus. People, relatives and staff spoke positively about the leadership offered by the registered manager. Effective and appropriate systems, processes and practices ensured the home ran smoothly and that necessary regulations were met. Complaints could be raised and these were investigated and addressed. All feedback was welcomed and used to improve the service further.