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Westbourne House Nursing Home Requires improvement

We are carrying out a review of quality at Westbourne House Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 June 2019

About the service:

Westbourne House Nursing Home is a care home which provides personal and nursing care for up to 71 people with a range of medical and mental health needs. The home also provides intermediate care for people who are admitted to the service from the community or from local hospitals. Intermediate care is undertaken via a National Health Service contract to help ease the pressures on the acute health care services in the area. People receiving intermediate care were receiving rehabilitation to support them to return home or to an alternative care setting.

At the time of this inspection the service was mainly caring for people who were using the service on a temporary basis; some of whom only used the service for a very short period after being discharged from hospital. On the first day of this inspection there were eight people living in the service on a permanent basis and 50 people using the service on a temporary basis. On the second day of this inspection, six of the people using the service on a temporary basis had been discharged back to their own homes. There were therefore 52 people using the service when we concluded this inspection.

People’s experience of using this service:

Most people using the service only resided there temporarily whilst they improved their health or regained independent living skills. They had access to a range of health professionals who were based at the service to support the provision of intermediate care. Staff worked alongside these health professionals to help rehabilitate people.

People told us they felt safe. Staff understood how to protect people from abuse and they were confident the manager would act upon any concerns they raised.

There were enough staff deployed to keep people safe, however people and their relatives told us they thought the service was sometimes short staffed, particularly during the night. Staff told us they thought there were enough staff to meet people’s needs.

People’s medicines were not always managed safely. We found the service was in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014; safe care and treatment.

People told us staff were kind and caring. We observed staff treated people with dignity and respect. Staff knew people well and they provided care and support in accordance with people's preferences. Staff supported people to remain independent.

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

People and their relatives said staff appeared to be well-trained and knew what they were doing. Staff told us they were happy with the training they received. They thought it supported them to deliver effective care to people.

People knew how to make a complaint if they had any concerns about the care and support they received. People were provided with information about how to complain if they needed to.

The care plans and risk assessments for people using the service on a temporary basis needed to be more personalised. However, the care records for people using the service on a permanent basis were better quality as staff had had more time to develop them.

The provider and registered manager understood most regulatory requirements however they had not notified the Care Quality Commission of some events they were required to tell us about. This was a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009.

The managers monitored the quality and safety of the service. However, the quality assurance system had not identified all issues we found during this inspection in respect of medicines management and the quality of some care plans. Improvements to the quality assurance system are therefore required.

We received positive feedback about the way the home was run. Staff and health professionals

Inspection areas

Safe

Requires improvement

Updated 26 June 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 June 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 June 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 June 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 June 2019

The service was not always well-led.

Details are in our well-led findings below.