Westfield Rest Home

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• 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 assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (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, wellbeing and communication needs with them.

People’s needs were assessed using a range of formal assessment tools, these were reviewed regularly to identify if people’s needs had changed. People’s communication methods were documented within care plans to enable effective communication.

The provider planned and delivered people’s care and treatment in line with legislation and current evidence-based good practice and standards.

Care records showed information was available to enable staff to meet people’s needs. For example, we saw mobility equipment was being used by a person at the service, and its use was recorded within care records. Care records contained enough information to ensure staff could support a person-centred approach and records were updated when things changed.

The provider involved relatives in care planning to support the delivery of person-centred care. Relatives told us they were involved in care planning. Documentation we viewed also showed people, and their relatives were involved in planning care.

People were supported by appropriate health professionals if the need arose. We saw district nurses visited to provide support, and documentation showed advice was sought from health professionals when the need arose. Staff we spoke with were able to describe the needs of the people they supported, and the help they required.

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.

The provider shared information with other health and social care professionals to support care planning and delivery. Records of agreed actions and treatment plans were documented to help enable consistency of care. The service had regular ‘ward rounds.’ This was a meeting held with a team of health professionals to review people’s needs. This helped ensure people received person centred care that promoted their wellbeing.

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. A relative told us their loved one was supported to access medical advice if this was required and we saw documentation recorded when this was done.

People were asked to choose their meals from a menu and could also have an alternative meal. People were happy with the meal provision and could access drinks and snacks at regular intervals during the day. Comments we received included, “They make me something if I change my mind about my meal.” And, “You don’t have to take or leave the meals here, there’s always a choice.” Staff knew people’s individual needs and preferences.

Care records contained information on how people’s oral health could be maintained. People were registered with a dental practice so dental care and monitoring was available.

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.

The provider used formal assessment tools to assess the health and wellbeing of people who used the service. People’s weight and skin integrity was monitored at a frequency that met their assessed needs, and information was shared with health professionals when this was appropriate.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

We observed staff seeking consent from people before care was delivered. Mental capacity assessments were completed if these were required, and we saw evidence that best interest decisions were made with the involvement of other relevant persons if this was needed. If restrictions were required to maintain people’s safety, this was done lawfully.