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Westgate House Care Centre Good

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Inspection report

Date of Inspection: 3, 4 March 2014
Date of Publication: 8 April 2014
Inspection Report published 08 April 2014 PDF

Overview

Inspection carried out on 3, 4 March 2014

During an inspection in response to concerns

We inspected Westgate Care Centre due to concerns that had been raised. These suggested that people were not treated with dignity and respect, that their consent had not always been sought and that they were receiving inappropriate care.

During our inspection on 03 and 04 March 2014 we found that people�s dignity was not maintained. We noted that people's bedroom doors had been left open and people were visible from the corridors in various states of undress. We also found that the needs, wishes, preferences and decisions of people who used the service were not at the centre of the assessment, planning and delivery of their care, treatment and support.

We found that the provider had not sought the required consent from people who acted on behalf of those who had complex needs and lacked the mental capacity to make or understand decisions themselves. Where the provider had not acted in accordance with relevant guidance and legislation people may have been unlawfully restricted because their preferences and views had not been sought.

We spoke with people who used the service and their relatives. Some of the people we spoke with were positive about the care they received. One person told us, �[Carer] is fantastic, so gentle and kind and knows just what I need, in fact most of the staff are very caring.� However people did not always feel involved in the planning of their care. One person who used the service told us, �I don�t know what�s in my care plan, I would like to see it but the staff don�t have the time to show me, I trust that they know what�s best.�

We found that people were not always cared for by suitably qualified, skilled or experienced staff. This was because the provider had not sought to ensure that staff were suitably skilled or qualified prior to commencing employment. One staff member we spoke with told us, �I didn�t have an assessment [of my skills] by the unit manager, and I haven�t spoken to them about how I am getting on. They just take my word that I am doing okay.�

We found that people's care records were not stored securely, nor were they always accurate and appropriate.