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West Ridings Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at West Ridings Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 October 2019

About the service

West Ridings is a residential care home providing personal and nursing care for up to 180 people across six separate units, although one unit has not been used since 2015. Swaledale unit provides general nursing care, Wharfedale and Airedale units provide personal care, Wensleydale unit provides personal care for people living with dementia and Calderdale unit provides nursing care for people living with dementia. At the time of the inspection there were 130 people in the service. We did not visit Wensleydale during the inspection as the unit was closed to visitors, on the recommendation of the local authority infection control team, due to an outbreak of diarrhoea and vomiting.

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

People were happy with the care and support they received and told us they felt safe. Staff were aware of risks to people and knew how to keep them safe. Overall medicines were managed safely, although we raised some issues on the first day which were addressed promptly.

People gave mixed feedback about the staffing levels; some felt there were enough staff and said they came quickly, others reported they had to wait for staff and thought there were not enough. Overall, we observed staff were available to people, although staff were very busy at mealtimes on some units. Staff were trained and had the required skills to meet people’s needs. Staff told us they felt well supported. Recruitment processes ensured staff were suitable to work in the care service.

Staff knew people’s needs and how to meet them, although people’s care needs and preferences were not always fully reflected in their care records. People were not always given information in a way they could understand. We have made a recommendation about meeting people’s communication needs.

The home was clean and well maintained. The environment was decorated and furnished to a high standard with adaptations made to help people find their way around. Improvements had been made and were ongoing to make the environments on Calderdale and Wensleydale units more dementia friendly.

People and relatives praised the staff for being kind, caring and compassionate. We saw staff treated people with respect and maintained their privacy and dignity. People enjoyed a range of activities and events, including spending time outside in the garden and going out on trips. People had access to healthcare services. People’s nutritional needs were met but many complained about the quality and presentation of the food. The management were aware and were taking action to make improvements.

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. We have made a recommendation about obtaining and recording people’s consent to care and treatment.

A new registered manager had been appointed since the last inspection and everyone spoke highly of this individual. Leadership and management had improved, which resulted in better outcomes for people and an increase in staff morale. More thorough quality assurance systems had been implemented which identified similar issues to those we found during the inspection. Senior managers carried out regular reviews and provided assurances that actions were being taken to address these. The provider recognised these improvements need to be sustained and developed further to ensure the service is consistently well-led.

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

Rating at last inspection and update

The last rating for this service was Inadequate (published 7 March 2019) and there were breaches of regulations. We took enforcement action and issued warning notices. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This serv

Inspection areas

Safe

Requires improvement

Updated 31 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 31 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 31 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 31 October 2019

The service was not always well-led.

Details are in our well-Led findings below.