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Inspection Summary


Overall summary & rating

Good

Updated 1 August 2017

Westlands provides accommodation and personal care for up to 41 older people who may live with dementia. Thirty-three people were living at the home at the time of our inspection visit. At the last inspection, the service was rated Good overall and Outstanding in well-led. At this inspection we found the service has maintained the same ratings and continues to be rated Good overall and Outstanding in well-led.

There were two registered managers for this service at the time of our inspection visit. 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.

One registered manager had recently retired, but had not yet deregistered from the service. The new registered manager had been in post since April 2017 and had been registered as the manager at this home since May 2017. The new registered manager was already registered with us as a manager at another of the homes in the provider’s group, which had been rated Good under their leadership. The provider had notified us of these changes.

People were at the heart of the service. Staff and the management team shared and demonstrated the provider’s philosophy that, ‘every day should be a day well lived’. Staff received training in the provider’s values, which included, ‘play, make their day, be there and choose your attitude’. People were supported to maintain their purpose and pleasure in life independently or with the support of staff and volunteers.

People and their relatives were encouraged to share their opinions about the quality of the service, which ensured planned improvements were beneficial to the people who lived at the home. The provider continued to use external agencies and recognised methods to understand how people who lived with dementia experienced care, to drive improvements in the service. Changes to the premises had improved people’s enjoyment of their environment.

The provider was innovative and creative and strived to improve the quality of people’s lives. They had researched and reflected on how an internationally recognised provider of excellence in dementia care provided care. They had implemented an electronic care planning system that ensured staff and management had access to the most up-to-date information at the press of a button and enabled relatives to be fully informed and involved in their relations’ care.

The provider planned to implement an acoustic monitoring system at night, which was already in operation at some other homes in the group, where people had agreed they would like it. People will benefit from the technology because they will not be disturbed by regular night checks and staff will have more time to care for them.

People continued to have freedom of choice and were supported by staff who had the skills and training to meet their needs. People were supported with their dietary and health needs and were encouraged to maintain their independence by following their preferred and familiar routines and habits.

People were involved in planning their care with the support of their relatives and staff, to make sure their care plans met their individual needs, abilities and preferences. Staff showed insight and understanding in caring for people, because they understood people’s individual motivations and responses.

People were protected from the risks of harm, because staff understood their responsibilities to protect people from harm. The registered manager checked staff’s suitability for their role before they started working at the home and made sure there were enough staff to support people safely.

Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks. Medicines were stored, administered and m

Inspection areas

Safe

Good

Updated 1 August 2017

The service remains Good.

Effective

Good

Updated 1 August 2017

The service remains Good.

Caring

Good

Updated 1 August 2017

The service remains Good.

Responsive

Good

Updated 1 August 2017

The service remains Good.

Well-led

Outstanding

Updated 1 August 2017

The service remains Outstanding.