Westfield 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, 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 79 (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 and care delivered in line with their care plans. People had the opportunity to participate in monthly meetings to discuss their support plans and were given time to reflect on what was going well and not going well. People also had the opportunity to discuss other aspects of their support and life as they needed and wished to.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People chose what meals they liked and these were included in menu planning and meal preparation. People had access to a hydration station and snacks e throughout the day. Some people were supported to cook for themselves to support independence. The service held themed food nights including Greek and Italian nights. People told us they enjoyed participating in these events because they offered different flavours and foods to try. One person required support to eat healthy options and had access to leaflets which promoted healthier choices. During their 1 to 1 time, staff supported the person to explore new recipes which ensured food choices were interesting.

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. Staff and leaders worked closely with other health professionals to ensure people’s needs were met. Staff and leaders had built up positive relationships with professionals such as community mental health teams, GP practices, pharmacists and specialist clinical community teams. They had regular meetings, reviews and telephone calls to ensure good communication and an effective multi-disciplinary approach. One external professional said, “They [staff and leaders] communicate effectively with our team and flag both issues and achievements. We offer professional advice and support, and they respect this and put plans into action. The staff are very experienced and well led and I feel reassured that my clients are provided with appropriate levels of support and care.”Handovers took place between staff and were thorough and gave staff necessary information they required to support people. One staff member said, “I feel we have a good team and work well together. If one of us [staff] is overwhelmed, then someone will always help.”

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. The service had a named clinical lead for the service who was involved a fortnightly ward round telephone call with a doctor to discuss any health concerns people may be experiencing. This ensured effective communication and prompt intervention where required. One external professional said, “From my experience the staff at Westfield House communicate well with our team. They communicate via phone call or email when they have concerns about their service users. They have an excellent knowledge of their patients and express concerns in a timely manner.”

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Care plans were focused on outcomes and concentrated on people’s planned outcomes and how they would achieve their goals. For example, 1 person required support to motivate themselves to participate in exercise. Staff supported this person by introducing gentle exercise and involved a dietician to offer advice about healthier eating. People had a section in their support plans known as ‘recovery star’ where people’s hopes, dreams and goals for the future were recorded. For example, 1 person’s long-term goal was to move into their own tenancy in the community. Part of this progression was to build independent living skills to ensure any move would be successful. The service had a wishing tree where people could attach a wish, such as going to watch a football match. The aim was to ensure people’s wishes were looked at and a reasonable solution was found. This had been very successful, and people spoke freely about their wishes and how staff had made them a reality.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff and leaders supported people to be involved in decisions about their care. We saw staff asking for people’s consent prior to carrying out tasks. People were at the heart of their support. One staff member said, “Residents are always encouraged to make choices about their own care. Key worker meetings are carried out every 2 months, and the residents get to have their say. Our voice meetings are carried out regularly to ensure any changes wanted are voiced and these get implemented if appropriate.”