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Inspection Summary


Overall summary & rating

Good

Updated 23 June 2018

Westfield Residential Home is a home for up to 23 people who may be living with dementia. At the time of our inspection 23 people were using the service. Westfield Residential Home is a family run home with a registered manager who has been in position for over 15 years. The registered manager was actively supported by the director. The management had a clear vision and spoke passionately about the service they delivered and the continuous improvements they were working towards achieving. However, we found the quality assurance systems in place were not used effectively to identify trends and lessons learnt.

The care workers kept people safe by monitoring and risk assessing safety equipment and utilities and infection control measures were effective. There was a communal lounge and dining room and areas for people to sit quietly if they wished. Bedrooms were personalised and staff were clear about the importance of paying attention to people’s well-being, privacy, and independence.

The service provided safe staffing levels, and care workers received supervision and training. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service provided a good standard of care to the people who lived there. The care workers were aware of people’s needs and treated them with dignity and respect. They listened to people and their needs and acted accordingly when asked for assistance. People who lived at Westfield Residential Home told us they felt safe and well cared for. When we discussed safeguarding with staff, we found they understood their responsibility to protect vulnerable adults from abuse and poor practice. Staff ensured documentation was regularly reviewed in order to ensure they continuously met the person’s changing support requirements.

Staff supported people to live as they chose and to enjoy a variety of activities. People were supported to keep in touch with family and friends and visitors were made to feel welcome. Staff and relatives were aware of how to raise concerns and were confident any issues would be dealt with promptly.

Medicines were managed safely. We saw medicines being administered to people in a safe and caring way.

Staff were knowledgeable about people's needs and we found that people were receiving the care they required. However, training required updating in safeguarding, mental capacity and DOLS.

Staff were aware of people's nutritional needs. Support was provided with eating and drinking, people were supported to maintain a healthy diet, and people's dietary needs and preferences were catered for.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 23 June 2018

The service remains Good

Effective

Good

Updated 23 June 2018

The service remains Good

Caring

Good

Updated 23 June 2018

The service remains Good

Responsive

Good

Updated 23 June 2018

The service remains Good

Well-led

Requires improvement

Updated 23 June 2018

The service has deteriorated to Requires Improvement

A recommendation has been made to the provider