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Inspection carried out on 4 April 2019

During a routine inspection

About the service: Westside Home 2 is a care home that provides accommodation and personal care for people with mental health problems. At the time of the inspection five people lived at the service. The home was established over two floors, with a range of communal areas including dining spaces and a large garden.

People’s experience of using this service:

People told us they felt safe and well looked after in the home. Staff knew and understood the risks to people and ensured that steps were taken to reduce the level of risk as much as possible. People received their medicines at the right time and there were sufficient staff on duty to keep people safe and ensure their needs were met. Staff were recruited safely to ensure they were suitable to work in the home and were well trained and supported by the provider.

People's mental and physical health needs were closely monitored, and staff ensured people saw external healthcare professionals when they needed to. The provider was working in line with the principles of the Mental Capacity Act 2005 and people's consent was obtained before care and support was delivered. All people living at Westside Home 2 had full capacity to make their own decisions.

People were supported by caring staff who took time to get to know people and encouraged people to maintain their independence. There was a clear complaints policy in place, and people could choose whether to take part in the activities that were on offer.

Quality assurance audits were effective and improvements to the quality of the service were made if shortfalls had been identified. People and staff were happy with the way the service was led and managed and the registered manager led by example in offering warm and personalised care to people.

More information is in the detailed findings below.

Rating at last inspection:

Good (report published 1 November 2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our 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

Inspection carried out on 29 September 2016

During a routine inspection

This inspection took place on the 29 September 2016 and was announced. At the previous inspection visit which occurred in October 2014 all standards inspected were met and we rated the service ‘Good’.

Westside Home 2 provided accommodation and personal care for six people with various mental health issues. During the day of our inspection there were no vacancies.

A registered manager was in post. 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.

People said they felt safe living at the home and staff made them feel safe. Staff said they attended safeguarding adults training. The staff we spoke with had a clear understanding of the safeguarding of adults procedures. They were able to describe the types of abuse and the actions they must take.

Risks were assessed and staff were knowledgeable on the actions they must take to minimise risks. Staff told us risk assessments were discussed at community team meetings and were developed by the key worker together with the person.

Staffing levels were being maintained with permanent staff and reflected the current needs of people who used the service. This meant that sufficient staff were deployed to reflect the two recent admissions. The rota in place showed two staff were on duty throughout the day and one member of staff at night.

Medicine systems were safe. Medication administration records (MAR) charts were signed by staff to indicate the medicines administered. Protocols were in place for medicines administered "when required" (PRN).

Staff were supported to develop their skills and their performance was monitored. Staff attended essential training as identified by the provider and specific training to meet the changing needs of people. One to one meetings were regularly held with the line manager and at these meetings concerns, training and personal development was discussed.

Staff had received training in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). However, no restrictions were in place and people could access and exit the home as long as it did not impact their treatment and well-being.

People were supported with their ongoing health care needs. Reports of healthcare visits were maintained and demonstrated people had access to specialists and had regular check-ups, for example optician and dental check-ups.

People told us the staff were kind and caring. We saw staff interacted with people and where people became agitated we observed staff used a calm approach to prevent any escalations.

People were supported with their activities programme which included college, various day services, gym and visiting friends and relatives.

Support plans were signed by the person to show their agreement. People told us records were kept about them.

Systems were in place to gather people's views during community residents meetings. Questionnaires were used to seek feedback for people who used the service and relatives.

Systems and processes were used to assess, monitor and improve the quality, safety and welfare of people. There were systems of auditing which ensured people received appropriate care and treatment.

Inspection carried out on 9 October 2014

During a routine inspection

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.

The previous inspection of the service took place on 7 November 2013 when it was found to meet all the required standards. This inspection was unannounced.

Westside Home 2 provides personal care and support to up to 6 people with mental health needs The service is used as a step down facility from more secure mental health settings. There were four people living at the service on the day of our inspection.  The service has a registered manager. 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.

People who used the service told us they were very satisfied with the care they received. People said that they felt safe at the home and that they were involved in the development of their care plan and making decisions about how and when their support was delivered.

People said staff listened to their views and treated them with respect. Each person received support that met their specific needs. For example, people were supported to access local colleges to gain further education or were in voluntary employment. People told us that this had helped them to integrate better in the community and provided them with additional skills to become more independent.

People cooked their own meals; however, we saw that the ingredients were purchased by the provider. People told us that they were happy with this arrangements and that food was always available.

People told us the manager of the service knew them and regularly met with them. They said they were asked how things were going in relation to their support and whether any changes needed to be made. People said staff were trustworthy and they received care which kept them safe.

People said they got the support they needed with their medicines and had easy access to health care professionals such as community psychiatric nurses (CPN), psychiatrists, GPs and psychologists if required. Some people told us that they accessed alcohol and drug support services, which they found very helpful and supportive.

People told us staff were well trained and had a good understanding of mental illness and how to positively support people.

The service had learnt from incidents and made changes to improve the service. People’s views were sought during community meetings and suggested changes were listened to. For example one person suggested having flowers at the front door and this was supported.

Information we received from a CPN at the local mental health team confirmed the positive views of the service. The provider told us that they were in the process of developing a satisfaction questionnaire which they planned to send out to people in the autumn of 2014. People said they received a reliable service which met their needs and staff were friendly and treated them with dignity and respect.

Inspection carried out on 7 November 2013

During a routine inspection

We saw that people were provided with choices about every day decisions, daytime activities, menus and how people were involved in the planning of their care.

We found that people's dignity and independence was respected.

We saw staff supported people in a kind and caring manner.

We spoke with two people who used the service and they both told us that they were very happy and that they felt safe. One person told us that �I am very happy here and I like the staff, staff were encouraged and supported to obtain qualifications which will help me when I move out."

We saw evidence that the care provided met people�s individual needs and that care plans had been signed by the person who used the service or their representative.

Medication was being managed and administered effectively and safely and all records were up to date and securely held to ensure that people's confidentiality was protected.

Inspection carried out on 8 November 2012

During a routine inspection

We spoke with two people who use the service. All the people we spoke with told us they were fully involved in their care. Due to the type of people using the service, the service had rules which included when people should be on the premises by. People consented to the rules before they were admitted and said they were happy with these rules as it gave them structure.

All the people we spoke with were happy with the home and the care they received. One person said that the managers were "generous and lovely". Another person said they found the home "very therapeutic".

None of the people we spoke with had any concerns regarding the service and were comfortable in speaking with staff if they felt they had any issues. The service had in place safeguarding policies and procedures to prevent abuse.

All the people we spoke with said they were involved in the selection process of any new staff. Staff were fully qualified and had the relevant checks to ensure they could work for the service.

All the people we spoke with said they were involved in meetings both with staff and other professionals involved in their care. The service provider undertook relevant checks to ensure they were providing a good service.

Reports under our old system of regulation (including those from before CQC was created)