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Inspection Summary


Overall summary & rating

Good

Updated 1 November 2017

Westwood House is located in Ashby De La Zouch, Leicestershire. The service provides care and accommodation for up to 16 older people with age related needs, including dementia and physical disability. On the day of our inspection there were nine people living at the service.

This inspection was unannounced and took place on the 4 October 2017. At our last inspection in December 2016, we identified two breaches of regulations. Regulation 12 safe care and treatment and regulation 18 staffing. We asked the provider to take action to make improvements with regard to medicine management, the management of risks at the service and staff training and supervision. At this inspection we checked to see if the provider had made the necessary improvements. We found that improvements had been made.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at Westwood House. Relatives we spoke with agreed with what they told us. The staff team were aware of their responsibilities for keeping people safe from avoidable harm and knew to report any concerns to the registered manager or a member of the management team. The management team were aware of their responsibilities around the safeguarding of people and training on how to keep people safe from harm had been completed.

People's needs had been identified and the risks associated with people's care and support had been assessed and managed. Where risks had been identified these had, where ever possible, been minimised to better protect people's health and welfare.

Plans of care had been developed for each person using the service and the staff team knew the needs of the people they were supporting, including their preferences.

People felt there were currently enough members of staff on duty each day because their care and support needs were being met. Care and support was provided at a pace that suited people and the staff team had the time to talk with the people using the service.

People received their medicines safely. Systems were in place to regularly audit the medicines held at the service and appropriate records were being kept.

Checks had been carried out when new members of staff had started working at the service. This was to make sure they were suitable and safe to work there. An induction into the service had been provided and ongoing training was being delivered. This provided the staff team with the skills and knowledge they needed in order to meet people’s needs.

People told us the meals served at Westwood House were good. Their dietary requirements had been assessed and a balanced diet was being provided. The registered manager was reminded of the importance of maintaining records to reflect that people were offered drinks throughout the 24 hour period. Particularly where people were at risk of dehydration.

People were supported to maintain good health. They had access to relevant healthcare services such as doctors and community nurses and they received on going healthcare support.

The staff team supported people to make decisions about their day to day care and support. Where people required additional support to make decisions, advocacy support was available to them. Where people lacked the capacity to make their own decisions, assessments of their capacity to consent to aspects of their care had not always been made. It was also not always clear what specific decisions people were unable to make.

The staff team felt supported by the registered manager. They explained they were given the opportunity to meet with them regularly and felt able to speak with them if they had any concerns or suggestions of any k

Inspection areas

Safe

Good

Updated 1 November 2017

The service was safe.

People felt safe and the staff team were aware of their responsibility to keep people safe from avoidable harm.

The risks associated with people's care and support had been assessed and properly managed.

Appropriate recruitment procedures were followed and staff were suitably deployed to meet people's care and support needs.

People received their medicines safely.

Effective

Requires improvement

Updated 1 November 2017

The service was not consistently effective.

People were not being consistently supported in line with the Mental Capacity Act.

The staff team were suitably skilled and knowledgeable to meet the needs of those in their care.

A balanced and varied diet was provided.

People were supported to access the necessary healthcare professionals when needed.

Caring

Good

Updated 1 November 2017

The service was caring.

People were treated in a kind and caring manner.

People's privacy and dignity were respected.

People were offered choices on a daily basis and the staff team involved them in making decisions about their care and support.

The staff team knew the needs of the people they were supporting well.

Responsive

Good

Updated 1 November 2017

The service was responsive.

People's needs had been assessed and they had been involved in deciding what care and support they needed.

People's plans of care reflected their personal care and support needs.

The staff team knew the needs of the people using the service.

People knew how to raise concerns and they were confident that any concern would be dealt with appropriately.

Well-led

Good

Updated 1 November 2017

The service was well led.

The service was well managed and the management team were open and approachable.

The staff team felt supported by the registered manager and the management team.

Monitoring systems were in place to monitor the quality of the service being provided.

People using the service, their relatives and friends and the staff team had been given the opportunity to have a say on how the service was run.