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Westholme Clinic Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 26 November 2019

About the service

Westholme Clinic is a nursing home that provides personal and nursing care for up to 55 people. At the time of inspection, 50 people were living at the service. People were aged 60 and over and lived with a range of health and physical health needs including degenerative conditions such as dementia.

The building is purpose built over two floors. The communal areas are on the ground floor. The building and garden were fully accessible, bedrooms on the first floor were accessed by a lift.

People’s experience of using this service

There was not an adequate process for ensuring care records were accurate and complete. The care records of some people did not show their nutritional intake had been appropriately assessed. Records did not always evidence how best interests decisions had been made. We found no evidence during this inspection that people had been impacted from these concerns and the provider took immediate action to address them.

The service was homely and welcoming, and people told us they felt safe. They said there were enough staff to look after them and they were listened to and treated with kindness. Systems were in place to protect people from the risk of abuse and improper treatment and staff knew how to identify potential harm and report concerns. People received their medicines safely from trained nurses

Staff provided personalised care. Positive and caring relationships had been developed between staff and people. People and their relatives spoke positively about staff and the care they received. People were treated with dignity and compassion by a kind, caring staff and management team who understood people's individual needs, choices and preferences well.

The service was led by a dedicated management team who demonstrated compassion and commitment to the needs of the people who used the service, and the staff who worked for them. The management team worked professionally with other agencies outside of the service and ensured a transparent, honest and open approach to their work.

People were cared for by staff who were well supported and had the right skills and knowledge to meet their needs effectively. Checks were carried out prior to staff starting work to ensure their suitability to work with people. People received support from a consistent staff team who knew them well. There were sufficient numbers of staff to ensure people did not feel rushed and people received their support on time.

People were supported to have maximum control over 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.

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 Good (report published 7 March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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

Good

Updated 26 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 November 2019

The service was effective.

Details are in our effective findings below

Caring

Good

Updated 26 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 November 2019

The service was not always well-led.

Details are in our well-led findings below.