Background to this inspection
Updated
26 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by two inspectors and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Westbury Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and we looked at both 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
When planning our inspection, we looked at the information we held about the service, which included any notifications that the provider is required to send us by law. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection we spoke with six people using the service, and six relatives of people using the service, to gain their views about the care they received. We spoke with three care staff, two kitchen staff, two domestic staff, the activities coordinator, the deputy manager and the registered manager. We reviewed the care plans and other associated records for four people using the service. We looked at other records in relation to the management of the service, these included three staff recruitment files, staff training records, key policies and procedures and quality assurance systems and processes.
Updated
26 October 2019
About the service
Westbury Grange is a residential care home that can provide personal care for up to 45 people some of whom have dementia care and nursing needs. At the time of the inspection, 44 people were living at the service.
People’s experience of using this service
People continued to receive safe care, and staff we spoke with understood safeguarding procedures and how to raise concerns.
Detailed risk assessments were in place to manage risks within people’s lives, and staff we spoke with felt safe supporting people with a wide range of needs.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.
Medicines were stored and administered safely, and people we spoke with were happy with the support they received in this area.
Staffing support matched the level of assessed needs within the service during our inspection, and staff were trained to support people effectively. All staff felt well supervised and confident in their roles.
People told us they enjoyed the food prepared for them, and food and fluid intake were monitored as required. Support was given to people to eat in communal areas or within their own rooms.
Healthcare needs were met, and people had access to health professionals as required. Care plans outlined any support people required to manage their healthcare needs.
People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives. Staff treated people with kindness, dignity and respect and spent time getting to know them. People were supported in the least restrictive way possible.
Care plans reflected peoples’ likes, dislikes and preferences. An activities programme was in place, and people were engaged with by staff.
People and their family were involved in their own care planning as much as possible, and a complaints system was in place and used effectively.
The manager was open and honest, and worked in partnership with outside agencies to improve people’s support when required. Audits of the service were detailed and any issues found were addressed promptly. The service had a registered manager in place, and staff felt well supported by them.
Rating at last inspection
Good (report published 13 April 2017)
Why we inspected
This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk