Updated 1 March 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was conducted by one adult social care inspector and one assistant inspector.
Service and service type:
Westhaven is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was on short term leave during our inspection but there was an acting manager who was managing the service in their absence and was fully available during this inspection.
Notice of inspection:
This inspection visit was carried out on 29 January 2019 and was unannounced. Inspection activity started on 29 January 2019 and ended on 4 February 2019.
What we did:
Before the inspection, we reviewed all the information we held about the service including previous inspection reports and notifications received by the CQC. A notification is information about important events which the service is required to tell us about by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to decide which areas to focus on during our inspection. We requested and received feedback on the service from the local safeguarding teams and commissioners.
During the inspection, we spoke with three people using the service and two relatives of people using the service. We spoke with four staff; this included the area manager, acting manager and care workers. We looked at care records for two people using the service including support plans and risk assessments. We analysed three medicine administration records. We reviewed training, recruitment and supervision records for two staff including competencies. We looked at various policies and procedures and reviewed the quality assurance and monitoring systems of the service.
After the inspection, we exchanged emails with the acting manager for additional evidence and updates on the actions being taken by the provider following this inspection.
The report includes evidence and information gathered by inspector and assistant inspector. Details are in the key questions below.