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Weston House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2020

About the service

Weston House provides personal care for up to 33 people who have mental health conditions. At the time of the inspection there were 31 people living in the home.

People’s experience of using this service and what we found

The provider had failed to notify CQC of people’s outcomes in relation to their Deprivation of Liberty Safeguards (DoLS) which they are required to notify us by law.

Systems were not effective at identifying areas of improvement that were needed. There were no action plans in place to demonstrate the improvements the home was undertaking and there were no trends analyse for accidents or incidents to demonstrate people risks were mitigated.

We have made a recommendation about End of Life care planning.

People were at risk of not receiving their ‘as and when required’ (PRN) medication as there was lack of consistent guidance to support staff in recognising when people needed their medication. Weston House also did not recognise the importance of supporting staff to receive specific training in relation to people who may self-harm or be at risk of suicide.

The providers quality monitoring procedures were ineffective in identifying improvements to drive good care and support. This was due to people’s risks not being consistently recorded and the care plans did not give staff the guidance to refer to when and if needed. This meant there was a risk that staff would not always recognise when people’s mental health conditions were deteriorating.

Although people told us they felt safe at Weston House the systems and procedures were ineffective in mitigating risks to people. Monitoring systems did not identify areas of concern in order to make improvements.

People were protected from the risk of abuse as staff knew how to recognise this when and if it occurred. Staff were able to support people and actions were taken to mitigate further incidents to ensure people remained to feel safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had access to additional healthcare services when required and people were supported to maintain a healthy diet.

People received help and support from a kind and caring staff team and were supported to access the local community and activities within the home. Weston House had good links with the local community and involved neighbours in supporting fund raising during the summer months.

The home was clean and free from malodours and infection prevention and control measures were being followed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was outstanding (published 13 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to risk management and governance systems which were not effective at identifying areas that needed improvement. Also, in relation to managers and staff being clear about their roles and understanding quality performance.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 2 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 2 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 2 April 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 2 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 2 April 2020

The service was not always well-led.

Details are in our well-led findings below.