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Westbourne House Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 November 2020

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. At the time of the inspection there were 41 people living at the home. 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.

People's experience of using this service and what we found

The service was safe, and people received care from staff who were safely recruited and inducted into the role. Medicines were managed safely, with minor improvements needed to record keeping. Personal protective equipment was readily available to staff and all staff were trained on how to keep people safe from the risk of infection and use PPE correctly. Through observation and discussions with staff, it was clear training was well embedded. The home was clean and tidy. There were enough staff available to keep people safe and meet their needs in a timely manner.

The management team were well thought of and staff told us they felt well-supported. The management team were committed to providing good quality care and completed a range of audits and checks to ensure continuous improvement of the service. There was limited evidence to demonstrate what steps the provider had taken or planned to take to improve the service’s environment.

Rating at last inspection and update

The last rating for this service was requires improvement (published 26 June 2019) and there was a 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

We undertook this targeted inspection to check whether the Requirement Notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met and because of concerns we had about staffing levels, risks assessments, reporting to CQC and audit processes. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Westbourne House Nursing Home on our website at www.cqc.org.uk.

Follow up

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.

Inspection areas

Safe

Requires improvement

Updated 13 November 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 13 November 2020

Caring

Good

Updated 13 November 2020

Responsive

Good

Updated 13 November 2020

Well-led

Requires improvement

Updated 13 November 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.