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Inspection Summary

Overall summary & rating

Requires improvement

Updated 1 March 2019

About the service:

Westhaven provides accommodation, care and support for up to seven people with learning disabilities. At the time of our inspection, there were four people living at the service.

People's experience of using this service:

¿ People told us they were safe and well cared for living at Westhaven and their independence was encouraged and maintained. One person said, “I'm happy here.”

¿ We found one breach of the regulations in relation to consent. The provider was not completing decision specific mental capacity assessments and best interest decisions for people who might lack the capacity to make decisions about their care.

¿ We found some improvements had been made in relation to providing safe care and treatment however, the provider continued in breach of regulations because not enough improvements had been made in relation to the safe management of people’s medicines, assessment of staff’s competency to administer medication and information in people’s risk assessments. We also found concerns in relation to fire safety.

¿ The service met the characteristics of requires improvement in three out of the five key questions. This is the third time Westhaven in rated as requiring improvement.

¿ We have made three recommendations in relation to medicines, consent and quality assurance.

¿ The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

¿ People were involved in meaningful activities that maintained and enhanced their skills and abilities.

¿ People were supported by staff who were motivated, enjoyed their job and felt well supported through regular supervisions and training.

¿ The management had a clear vision about the quality of care they wanted to provide and there were plans to improve the service.

¿ More information is in the full report.

Rating at last inspection:

At our last inspection the service was rated requires improvement overall. Our last report was published on 10 January 2018.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.


Information relating to the action the provider needs to take can be found at the end of this report.

Follow up:

We will continue to monitor the service to ensure that people received safe, high quality care.

Further inspections will be planned for future dates. We will follow up on the breaches of regulations and recommendations we have made at our next inspection.

Inspection areas


Requires improvement

Updated 1 March 2019

The service was not always safe.

Details are in our Safe findings below.


Requires improvement

Updated 1 March 2019

The service was not always effective.

Details are in our Effective findings below



Updated 1 March 2019

The service was caring.

Details are in our Caring findings below



Updated 1 March 2019

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 1 March 2019

The service was not always well-led.

Details are in our Well-Led findings below.