Westfield House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Outstanding. At this assessment the rating has changed to Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Relatives told us that the provider worked closely with them to ensure that care plans contained the most up-to-date information for their family member. Another relative told us, “They have worked proactively with me to make sure that my family member has a more enjoyable experience in the community”. We saw from people’s care plans that their needs had been holistically assessed, with person-centred care plans developed as a result. They considered people’s strengths, choices, and independence, and put them in control of the care they received. Care plans were frequently reviewed, and we saw evidence that learning was shared within the organisation and swiftly implemented.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The provider showed us evidence of how they supported people to achieve their personal goals and to improve independence. We saw pictures of planned trips to London, where people fulfilled their goal of getting on the tube. The service had the right staff to meet people’s needs. Health needs were audited monthly, and we saw evidence of the tool used to monitor people’s eating and drinking. We saw that incidents relating to eating and drinking were immediately referred to the SALT team, and actions were swiftly implemented.

The provider worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once. People’s needs were assessed, and we saw communication between the service and other health services where people’s needs had changed. An external professional told us that the service “communicates well, and we always know if there has been a change to people’s needs”. We saw examples of positive outcomes for people through collaborative working.

The provider supported people to manage their health and wellbeing to maximise their independence, choice, and control. Staff supported people to live healthier lives and, where possible, reduce their future needs for care and support. We saw that people were supported to live an active life and were constantly out in the community when they wanted to be. People’s records showed that the service worked with health professionals to ensure people’s health needs were met and their well-being maintained. People were supported to choose healthy meals in line with their needs. Even where people could not access the community, staff made sure that people received some physical stimulation through music and dance. One relative remarked, “There is always fresh fruit and veg when I have visited”.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Staff told us they felt that people were well cared for and that they worked as a team to achieve positive outcomes for the people within the service. One staff member told us,” We take our role in monitoring and sharing knowledge very seriously within the team”. The service involved families in decisions and review of care. The provider had a process in place to enable regular feedback on the service.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We saw evidence that initial assessments were carried out before the commencement of service delivery. We saw that staff always asked for people’s consent when working with them and used a variety of communication tools to ensure people understood the choices being presented. One person told us, “My staff are great and listen to what I want each day”. Care plans showed that people’s opinion was sought in the care planning process, and the relevant capacity assessments were in place.