Westleigh House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care and communication needs with them. However, some elements of the assessment were not incorporated into care plans.

People’s assessed needs were recorded on the providers’ electronic records systems. From these assessments care plans were created to make sure staff had the information needed to provide appropriate care to meet people’s needs. We noted that where people’s interests and preferred activities were recorded in the assessments these were not always included in their care plan. This meant people were not always accessing activities in accordance with their known interests. Some relatives commented on this. One relative told us about a particular activity the person always enjoyed but said, “It’s never happened, more fun things needed."

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The staff used recognised assessment tools to assess and meet people’s needs. Staff had received up to date training to make sure their practice was in accordance with current best practice guidance and legislation.

Speech and language therapists worked with people and the staff to make sure appropriate meals were provided to everyone. One person who had specific allergies and preferences shopped for, and cooked, their own meals.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked well together and with other professionals. People had hospital passports which they shared with healthcare professionals when needed. This helped to ensure people received consistent care and support when in a healthcare setting.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Minutes of staff meetings showed people were referred to healthcare services to meet their individual needs. One healthcare professional said the staff reached out for help and advice appropriately and followed recommendations made.

People had annual health checks which helped to identify any issues and ensure people received the correct treatment in a timely way. Relatives told us they were happy with the healthcare support people received. One relative said, “They take people to appointments. They are pro-active about health."

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff supported people in a consistent way. They sought advice from other professionals to make sure people had the treatment and support they required to ensure positive outcomes for people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff offered choices tailored to the individual, and enabled people to exercise control over what they did.

Staff told us, and we observed, they always asked for people’s consent before they supported them. Staff understood the principles of the Mental Capacity Act and how to make decisions in people’s best interests where they lacked the capacity to make a specific decision. Staff knew people well and how they communicated their wishes. One member of staff said, “People can make day to day choices. If it was something big to decide we would involve people who know them well.”