West Villa Residential Home

Updated 4 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008. As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

West Villa Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. West Villa Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced and the second day was announced.

What we did before the inspection

We reviewed information we had received about the service since our last inspection. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed care plans, medication administration records, staff recruitment files and audits relating to the running of the service. We spoke with eight people using the service and two relatives. We also spoke with seven staff including the activities coordinator, domestic assistant, chef, care assistants, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

After the inspection

Following the inspection we reviewed the training matrix, policies and additional health and safety records. We also spoke with a health care professional who attended the service regularly.

Updated 4 May 2022

About the service

West Villa Residential Home is a residential care home providing people with accommodation and personal care. The service is registered to support up to 32 people. At the time of the inspection there were 29 people living at the service. The service provides support to adults including people with dementia.

West Villa Residential Home accommodates people in one adapted building. There are bedrooms across three floors with communal living areas on the first floor.

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

Risk assessments at the service had not all been reviewed at the time of the inspection. The registered manager updated these during the inspection and discussed upskilling additional staff to assist with the completion of these records. People told us they felt safe and received their medicines on time. Accidents and incidents were appropriately recorded and reviewed to identify trends and learning, where possible. The service had recently switched to an electronic care planning system where care records were updated by staff on hand held devices. Staff spoke positively about the use of these devices. The registered manager will be further updating these systems to ensure all planned care is recorded accurately. For example the administration of thickener did not always state the consistency. People told us they felt safe and supported by staff.

Staff told us they felt supported by the registered manager and the provider. The registered manager completed regular audits of the service. Both the registered manager and the provider completed spot checks at the service to assess the quality of the service. The service responded appropriately to complaints. Staff had regular supervisions and felt able to discuss concerns with the management team. The local authority and a visiting health care professional gave positive feedback about the service.

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 requires improvement (published 31 March 2020). At our last inspection we recommended the provider improved cleaning regimes to ensure the elimination of unpleasant odours. At this inspection we found an appropriate cleaning regime in place, the provider had changed their cleaning products and there were no unpleasant odours during the inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service. 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 COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.