Background to this inspection
Updated
10 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 26 July 2016 between 10.30am and 6.30pm and was unannounced.
The inspection was carried out by one adult social care inspector.
Before the inspection we reviewed all the information we already held on the service. We also contacted the local authority contracts quality assurance team to seek their views.
During the inspection, we used a number of different methods to help us understand the experiences of people living in the home.
We reviewed three care records and spoke with seven people living in the home and one relative. We looked at staff training, looked at staff recruitment files and interviewed three staff.
We saw a selection of records relating to the management of the service such as policies and procedures, audits and complaints and compliments.
Updated
10 August 2016
The inspection was unannounced and took place on 26 July 2016.
The last inspection took place in May 2014. At that time the service was not in breach of any of the Regulations.
Westy Hall is close to bus routes, local shops and other public amenities. It is registered to provide care for up to 39 older people. Ten of the places provide accommodation and care for people living with dementia, within a dedicated unit. The service is run by CLS Care Services Limited, a not for profit organisation that runs a number of homes in the North West of England.
On the day of our inspection there were 34 people living in the home.
The home had a registered manager who had been in post for six and a half years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People we spoke with were happy with the care they received. We observed caring relationships between staff members and the people living in the home.
Some people who used the service did not have the ability to make decisions about some parts of their care and support. Staff had an understanding of the systems in place to protect people who could not make decisions and followed the legal requirements outlined in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
People's needs were assessed and care plans identified people's needs, whilst fostering and maintaining independence where possible. People's care and support needs were met and their medicines were administered appropriately. Staff supported people to attend healthcare appointments and liaised with their GP and other healthcare professionals as necessary to maintain their health or support them at the end of life.
The organisation had thorough recruitment practices so that suitable staff were employed. They received induction and training to meet the needs of people living at the home and were well supported by the manager. This meant people were being cared for by suitably qualified, supported and trained staff.
We saw that the service had a safeguarding policy in place. This was designed to ensure that any safeguarding concerns that arose were dealt with openly and people were protected from possible harm. Staff were knowledgeable about the risks of abuse and the reporting processes.
There was a flexible menu in place which provided a good variety of food to the people using the service. There was also a programme of activities to provide people with options for meaningful activity and social stimulation.
The registered provider had a quality assurance system that included seeking the views of people who used the service, staff and visitors. This helped to develop and drive improvement.