Westbourne 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,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

At our last assessment we rated this key questionrequires improvement. At thisassessmentthe rating hasremainedrequires improvement.This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 54 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, well being with them. Improvements were required to care records to ensure they contained robust information about people's mental and physical health needs. For example, 1 person's care plan did not contain details about how their mental health condition affected them, their presentations and how staff supported them with this. Another person's care plan did not contain enough detail about their health diagnosis related to breathing and how staff should support them with this. Care plans did,however, contain robust information about peoples likes and dislikes, what was important to them, their cultural needs and their life history.

The provider did not always plan and deliver people’s care and treatment with them. Due to concerns we found contained within the safe section of the report, we could not be assured staff always followed best practice guidance. This included concerns we found relating to managing a person's dietary needs, storage of medicines and ensuring care plans contained robust information about people's needs.

The provider did not always work well across teams and services to support people. Whilst we found referrals had been made to external professionals as required, such as contacting the GP and liaising with district nurse teams, we could not be assured staff always followed professionals’advice.

The provider did not always support people to manage their health and well being, so people could not always maximise their independence, choice and control. Staff did not always support people to live healthier lives, or where possible, reduce their future needs for care and support. People received support from a range of external professionals to support them to manage their physical and mental health. This included district nurses and speech and language therapists. However, we could not be assured staff always supported people to live healthily, due to the concerns we found in relation to managing a person's dietary intake, a lack of information in some people's care plans about their health diagnosis and a lack of robust recording when people had incidents of distress.

The provider routinely monitored people’s care and treatment to continuously improve it. People's care plans contained information about their future goals and wishes. People told us they were happy living at the service, and they felt staff had supported them to have a good quality of life. A relative said, “[Name] receives very good support at the home. They can choose different food options if they don’t like what is on the menu. [Name] has been able to personalise their room, which makes it feel more homely.”

The provider did not always tell people about their rights around consent. People had not always had their capacity assessed, including their capacity to consent and make informed decisions about their care and treatment. Since our last assessment staff had completed capacity assessments in relation to the use of CCTV in communal areas of the home. However, no other capacity assessments were undertaken for people who may have lacked capacity about their support, such as support with personal care,medicines and finances.