The Westbury Care Home

Updated 4 February 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was undertaken by two inspectors.

Service and service type

The Westbury Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service about their experience of the care provided. We spoke with eleven members of staff including the registered manager, area quality director, clinical lead, a registered nurse, care workers and ancillary staff.

We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We spoke with one health and social care professional who regularly visited the service.

Updated 4 February 2020

About the service

The Westbury Care Home is a residential care home providing personal and nursing care to 38 people aged 65 and over at the time of the inspection. The service can support up to 44 people.

The home was purpose built and accommodated people in one building. People’s rooms were on the ground and first floor and there was a communal lounge and adjoining dining room. In addition to long term care, the home provided intermediate care. This type of care aims to enable people to regain their independence and return home, following acute ill health or surgery.

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

There were enough staff to support people safely. The home was calm, and staff had time with people. Risks were identified and safely managed. Staff were aware of the responsibilities to identify and report potential abuse. Systems were in place to prevent and control infection and the home was clean. People’s medicines were safely managed. There was an open culture with a focus on learning if things went wrong.

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. People had enough to eat and drink. Effective monitoring was in place to ensure this. People’s needs were assessed, and a range of healthcare services were accessed to help them remain healthy. The environment was warm, comfortable and met people’s needs. People were encouraged to personalise their room. Staff felt supported and received a range of training to help them do their job well.

People were treated well, and systems were in place to ensure this. There was an established staff team and staff knew people well. People were complimentary about the staff and there were many positive interactions. People were encouraged to direct their care and their privacy and dignity was promoted.

People were happy with the support they received and had a detailed care plan in place. This showed how people liked their care to be delivered and what was important to them. There was a range of social activity for people to join in with if they wanted to. The home had a minibus and external activities were being developed. Staff were passionate about providing good end of life care. Discussions were being held with people about this. There was an open approach to complaints, and systems were in place to enable people to raise a concern easily.

People benefitted from clear leadership and a caring ethos. This was adopted throughout the staff team, with kindness being a key factor. There was positive feedback about the registered manager and they had a visible presence in the home. They regularly worked with people, and alongside staff. There was a comprehensive auditing system, which assessed the quality and safety of the service. There was a clear focus on development and networking took place.

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 Good (published 03 June 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.