Background to this inspection
Updated
31 January 2020
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 one inspector. West Bank is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service was not required to have a manager registered with the Care Quality Commission as the provider was a single individual.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with three members of staff including a care worker, the care manager and a manager from another home owned by the provider. We reviewed a range of records. This included two people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
31 January 2020
About the service
West Bank is a residential care home for people with mental health needs. It provides personal care for up to 10 people in one adapted building. At the time of the inspection six people were living in the service.
People’s experience of using this service and what we found
People felt safe and secure living in the home. Risks to people’s health and safety were assessed and mitigated and staff understood the people they were supporting. There were enough staff around to ensure people received the required care and support. Medicines were managed in a safe and proper way. The home was kept clean and tidy.
People said they received good care. We made a recommendation that the service developed long term care planning to focus on meeting people’s goals and outcomes. People’s had access to a choice of fresh food and the service liaised with health professionals over people’s health and support.
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 said staff were kind and caring and treated them well. People were listened to, their privacy respected, and independence and freedom promoted.
People said they felt listened to and able to speak with staff or the management team over any concerns. People had access to a range of activities and social opportunities in the community.
The service had made a number of improvements since the last inspection A range of audits and checks were in place and these had been effective in driving improvement. People’s views and choices were valued and used to make changes to the service.
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 requires improvement (6 December 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow
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.