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West House Domiciliary Service Good

Inspection Summary

Overall summary & rating


Updated 20 June 2019

About the service

West House Domiciliary Service provides care and support to people living with a learning disability or autism. Seven people live alone in their own properties, eight people live in houses with one other person. There are 41 people who live with 3 or 4 other people in shared accommodation.

Not everyone using West House Domiciliary Service receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People’s experience of using this service

People told us they felt safe and staff had received suitable training about protecting vulnerable adults. Accidents, incidents, complaints and concerns were responded to appropriately. People told us they had good support from staff. The registered manager kept staffing rosters under review as people's needs changed. People or their relatives were involved in recruitment. New members of staff were specifically selected to work with individuals and had been suitably vetted.

People told us staff understood their needs. Staff were appropriately inducted, trained and developed to give the best support possible. We met team members who understood people's needs and who had suitable training and experience in their roles.

People saw their GP and health specialists. People told us they were supported to budget, shop and cook healthy meals and to look after their health. Staff took the advice of nurses and consultants. The staff team completed assessments of need with health professionals and with the learning disability teams. People were happy with the arrangements for medicines support. Medicines were suitably managed with people having reviews of their medicines on a regular basis.

The staff team were aware of their responsibilities under the Mental Capacity Act 2005. 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 told us the staff were caring. We also observed kind and patient support being provided. Staff supported people in a respectful way. They made sure confidentiality, privacy and dignity were maintained.

Risk assessments and care plans provided detailed guidance for staff in the home. People in the service, their social workers and relatives, where appropriate, had influenced the content. The registered manager had ensured the plans reflected the person-centred care that was being delivered. People told us they enjoyed the activities, interests and hobbies on offer. Staff could access specialists if people needed communication tools like Makaton or braille. Staff worked with psychologists and psychiatrists when necessary.

The service had three registered managers who dealt with operational matters, complaints and concerns, staffing and quality assurance and training. They consulted people and their representatives in a number of different ways. They were analysing quality monitoring reports to complete the new business plan, 'Transforming West House'. People, their relatives and the staff were enthusiastic about the immanent changes

Rating at last inspection

At the last inspection the service was rated Good (published 8 December 2016).

For more details, please see the full report which is on the CQC website at

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up

We w

Inspection areas



Updated 20 June 2019

The service remained good.

Details are in our Safe findings below.



Updated 20 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 20 June 2019

The service was caring

Details are in our Caring findings below.



Updated 20 June 2019

The service was responsive

Details are in our Responsive findings below.



Updated 20 June 2019

The service was well-led

Details are in our Well-Led findings below.