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Westdene House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 December 2019

About the service

Westdene House is registered to provide accommodation for up to 14 older people that may require personal care. Some people at the home were living with dementia, mental health needs or physical health conditions related to old age and frailty. On the inspection there were 12 people residing at the home. The care home was one adapted building.

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

People told us they felt safe and were happy the care they received. Our observation confirmed this, we observed friendly interactions between people and staff and we saw people were relaxed in the presence of staff. A person told us, “It’s a lovely place, staff are kind, I’d give it top marks.”

People were supported to eat and drink well and people were complimentary about the homemade meals served, a person told us, “The food is really lovely.” Despite this, we identified that ensuring that dietary needs were reflected across all documentation was an area of improvement.

Although we saw improvements in the provision of activities and in recording what was important for people, people continued to not be supported to participate in activities of their choice and people continued to be at risk of social isolation. We identified this as an area of improvement.

People told us they felt safe. Staff knew how to keep people safe in an emergency. Evacuation plans were up to date for each person. People’s medicines were managed safely. Staff knew what action to take if they had any concerns about people’s safety or welfare. People’s risks were identified and assessed appropriately.

The provider had a range of audits and checklists to monitor the quality of care and to identify improvements, however ensuring the efficacy of these audits was an area of improvement. Checks on the safety of equipment used by people such as wheelchairs, hoists and slings were out of date. We told the provider and they took immediate action. We recommended that the provider increases their oversight of servicing all equipment to ensure there are no gaps in servicing.

Before they came to live at the home, people’s needs were fully assessed to ensure that staff could meet their needs appropriately. People had access to a range of healthcare professionals and services. Care plans guided staff about people’s needs and how to meet them.

No-one living at the home required end of life care at the time of the inspection, but if a person wanted to discuss advanced planning their preferences were recorded.

People and relatives knew how to make a complaint and felt confident that their feedback was listened to and acted upon.

People were supported by staff whose suitability was checked through a robust recruitment process. Staff completed relevant training to provide effective care to people. Staff told us they felt well supported, received regular supervisions and an annual appraisal.

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.

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 16 January 2019) and there were breaches of regulation. We met with the provider and they completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and four regulations were met however one breach of regulation continued. The service remains rated requires improvement. This service has been rated requires improvement for the two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating. We will continue to monitor information we receive about the service until we return to visit as per our reinspectio

Inspection areas

Safe

Requires improvement

Updated 12 December 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 12 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 12 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 12 December 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 December 2019

The service was not always well-led.

Details are in our well-Led findings below.