Background to this inspection
Updated
14 May 2021
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 Care Act 2014.
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 was carried out by one inspector and an Expert-by-Experience. An Expert-by-Experience is a person who has experience of using or accessing this type of service.
Service and service type
Westroyd is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with five people who used the service to gain their views about their care and support. We spoke with nine members of staff including the registered manager, unit managers, administrative assistant. laundry and care staff. We observed the lunchtime meal in one unit and care and interactions between staff and people in communal areas. We contacted ten relatives by telephone who were able to share their views on behalf of their family members.
We reviewed a range of records. This included four people’s care plans and records and a sample of medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and information relating to people's dependency and staffing levels.
Updated
14 May 2021
About the service
Westroyd Care Home is a residential care home providing care and support for up to 55 older people. Accommodation is provided across two building referred to as the House and the Lodge. The lodge supports people living with dementia. At the time of our inspection there were 37 people using the service.
People's experience of using this service and what we found
Consistent numbers of skilled and knowledgeable staff were not always deployed to keep people safe and meet their needs in a timely manner.
Improvements were needed in managing potential risks of infection for people. Staff were not always adhering to safe practices in doffing and donning personal protective equipment when moving between buildings or administering medicines. Areas of the environment did not support effective cleaning of high risk areas, such as toilets. The premises required re-decoration and review to ensure the environment was able to support staff to meet people's needs effectively.
Oversight of the service required improvement to ensure systems and processes were effective in bringing about timely improvements. Not all concerns found on inspection had been identified in audits and checks.
People were happy with the support they received and felt safe living at Westroyd. Staff knew what to do to keep people safe and were confident any concerns would be taken seriously. Risks to people's well-being and safety were assessed, recorded and kept up to date. Staff supported people to manage these risks effectively. People received support to take their medicines safely.
Staff felt they required further training to provide them with the skills and knowledge they needed to support people living with dementia and distressed behaviours effectively. Staff felt well supported by their line managers and the registered manager.
People were supported to maintain their health and well being through a balanced diet, sufficient hydration and access to appropriate healthcare.
People were supported to have maximum choice and control of 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.
People, relatives and staff spoke positively about the registered manager and the changes they had made to improve the quality of the care and support provided.
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 (published 27 June 2019).
Why we inspected
The inspection was prompted in part due to concerns received about care and support. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
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 coronavirus and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westroyd Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.