Background to this inspection
Updated
22 July 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection was unannounced and took place on 2 June 2015. The inspection was carried out by the lead adult social care inspector.
We did not receive a Provider Information Form (PIR) although the provider did inform us one was completed and sent to the CQC. We were unable to trace receipt of this. A PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, such as notifications we had received from the registered provider. A notification is information about important events which the service is required to send us by law. We looked at the information we held on safeguarding referrals, concerns raised with us and checked if there had been any applications made under Deprivation of Liberty Safeguards (DoLS). We planned the inspection using this information.
During our inspection we spoke to four people who lived in the home, a visiting health care professional, the assistant manager, two support workers and the cook. We spoke to the newly appointed manager. We spoke to three people who were visiting relatives during our time in the home.
We looked at the personal care and support plans and checked the receipt and administration of medicines.
We looked at records pertaining to the safety and upkeep of the building and facilities. We looked at quality monitoring records.
Updated
22 July 2015
This unannounced inspection took place on 2 June 2015. During our previous inspection visit on 3 April 2013 we found the provider met all the standards we inspected.
Westerley is a care home registered to provide accommodation for up to 27 older people, some of whom may be living with dementia. The home is situated on the front in Grange over Sands with views over Morecambe Bay. There were 17 people living in Westerley on the day of our inspection visit.
The home had a manager in post who was recently been appointed and was in the process of applying for registration with the Care Quality Commission (CQC). He was previously registered for another service with CQC. 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 and associated Regulations about how the service is run.
We found that the service was safe and every member of staff was aware of their role and responsibility to keep people safe at all times. The provider had in place policies and procedures to protect people from harm or the threat of abuse. Staff interactions observed during the visit evidenced people were comfortable and relaxed in their surroundings. Staff had completed training in safeguarding vulnerable adults.
Medicines were well managed with records of the receipt, administration and disposal in place and up to date.
We found there were sufficient staff on duty to meet the assessed needs of the people who lived in Westerley.
People were thoroughly assessed prior to their admittance to the home.
Nutritional assessments were in place and people were encouraged to eat a healthy diet. Special dietary needs were catered for.
Health care needs were met by visiting doctors and district nurses. Mental health professionals were accessed when required.
We saw that people’s privacy and dignity were maintained at all times.
There was a complaints procedure in place and people knew how to make their concerns known.
Personal care plans were in place that gave staff sufficient information to care and support people using this service.
Management arrangements ensured the home was well-run. There was an open culture in the home with the staff team supporting each other as well as people living in Westerley.
There was an appropriate and detailed internal audit system in place to monitor the provision of care provided.