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Inspection carried out on 9 September 2019

During a routine inspection

About the service

Westfield Manor provides accommodation and nursing care to a maximum of 25 people living with

dementia and/or mental health needs. The home is in quiet location close to the church in the Idle

area of Bradford. The accommodation offers 21 single rooms and two double rooms and there are two small communal lounges and a dining room where people are able to spend time. At the time of this inspection 23 people were using the service.

People's experience of using this service

Everyone we spoke with told us the service was exceptionally well led. Relatives praised the service and the impact it was having on people. We saw many examples of the positive impact the leadership and compassionate ethos at the home had on people’s wellbeing. The service had a welcoming, homely feel which met people’s individual sensory needs.

People told us they felt safe at Westfield Manor. Staff were aware of their responsibilities if they were concerned a person was at risk of harm. Care files contained detailed individual risk assessments to reduce risks to people’s safety and welfare.

An effective system was in place to ensure medicines were managed in a safe way. Sufficient staff were deployed to meet people’s assessed needs and staff recruitment was safe. Staff had undertaken training relevant to their roles and there were clear lines of communication and accountability within the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Mental capacity assessments and best interest decisions were completed when decisions needed to be made.

Most people told us they enjoyed their meals and we saw people received support with meals and drinks when required. There was clear and consistent working with other professionals who supported people.

People and their relatives told us staff were very caring and supported them in a way that considered their dignity, privacy and diverse needs. Care plans were detailed and based on robust assessments of need. People were supported with activities and interests to support them to lead fulfilling lives.

Detailed information documented people’s advanced care plans if people wanted to record their future wishes.

People told us they knew what to do if they had any concerns or complaints about the service and the management team were very accessible. People who used the service, staff and relatives were asked for their views about the service and these were acted on.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection:

At the previous inspection (published 1 March 2017) the service was rated good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor the service and re-inspect in line with the current rating. If we receive any concerning information we may inspect sooner.

Inspection carried out on 1 February 2017

During a routine inspection

Westfield Manor provides accommodation and nursing care to a maximum of 25 people living with dementia and/or mental health needs. The home is located in quiet location close to the church in the Idle area of Bradford. All the accommodation is in single rooms and there are two small communal lounges and a dining room where people are able to spend time. The home was registered in October 2016 and has not been subject to any previous inspections whilst managed by the current care provider.

The inspection took place on 1 February 2017 and was unannounced.

A registered manager was in place. ‘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 and relatives all spoke positively about the service. They said that people were safe living in the home and that staff were kind, friendly and treated people well. They told us that the registered manager and owner were friendly and approachable and that they had significantly improved the home since they had taken over ownership and management of it.

Safeguarding procedures were in place and staff had a good understanding of how to identify and act on any allegations of abuse. Incidents were logged, investigated and action taken to keep people safe. Risks to people’s health and safety were assessed and clear plans of care put in place to help keep people safe.

The premises was safely managed. Recent improvements had been made to the environment to make it more pleasant and homely. Further refurbishment work was planned throughout the building.

There were enough staff available to ensure people received prompt and attentive care. Staff had time to chat with people as well as meeting their care and support needs. Recruitment procedures were safe to help ensure staff were of suitable character to work with vulnerable people.

People and relatives told us staff were competent and well trained. Staff had been provided with a range of training relevant to their role and the registered manager had installed a culture where staff sought out new knowledge and disseminated to their peers.

People and relatives spoke positively about the food provided by the home. There was sufficient choice and people received appropriate support where required.

The service was acting within the legal framework of the Mental Capacity Act (MCA) and Deprivation if Liberty Safeguards (DoLS).

People’s healthcare needs were assessed and the service worked with local health professionals to meet those needs.

Staff treated people fairly and with dignity and respect. Staff knew people well and good positive relationships had developed between people and staff. People’s diverse needs were taken into account and reasonable adjustments were made to the way the service was delivered to meet those individual needs.

Care plan documentation was well organised, demonstrated people’s needs had been fully assessed and showed that care and support interventions were carried out in line with people’s plans of care.

People and relatives told us they were involved in people’s care and support and felt listened to.

People and relatives said they were highly satisfied with the service and felt able to talk to the registered manager about any concerns or complaints.

People, relatives and staff all said the registered manager and owners were very approachable, understanding and effective in leading the home. They all said significant improvements to the culture, documentation and care outcomes had been achieved as a result of their leadership. We found the service to be well organised with the service committed to continuous improvement.

Audits and checks were undertaken and these were used to further improve the