Background to this inspection
Updated
18 March 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 carried out by one inspector.
Service and service type
Westcroft Nursing 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
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection.
During the inspection
We spoke with the registered manager, managing director, three care staff, one nurse, one cook, four people and two relatives.
We looked at three people’s care records. We looked at records of accidents, incidents, and complaints received by the service. We looked at recruitment records, staff supervision and appraisal records, policies and procedures and audits completed by the registered manager.
We were unable to talk with people their experiences of care. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and staff rotas which the provider had sent us.
Updated
18 March 2020
About the service
Westcroft nursing home provides personal care and accommodation, diagnostic and screening procedures and treatment of disease, disorder or injury for up to 28 older people some of whom are living with dementia, at the time of the inspection there were 25 people living at the service.
People’s experience of using this service and what we found
Care files contained information for staff to ensure people’s risk of pressure ulceration was managed in a safe way. Care files contained risk assessments for the use of equipment in the home, and we observed staffing using safe moving and handling techniques in accordance with risk management plans.
People’s medicines were safely managed. Where people were prescribed ‘as required’ PRN medicines, there were protocols in place that specifically detailed the needs of people and when these medicines should be given. Where people were on covert medicines, this was always given as a last resort.
Where required, people received support with their eating and drinking. Care files highlighted guidance for staff to support people if they were on a specialist diet. Staff were seen to encourage people to remain hydrated throughout the day.
The home was undergoing a continued refurbishment where a sensory room had been installed. There were further improvements planned for signage on doors to help people living with dementia navigate throughout the home.
There were a lot of positive interactions between staff and people at meal times and throughout the day. Staff spoke clearly to people and understood how to interact with people who were living with dementia. People confirmed that staff were caring and treated them with dignity and respect.
People’s care was person centred and individual to meet their specific needs and preferences. There were a number of events that had been organised by the service to help people maintain relationships and avoid isolation.
There was a positive culture within the home. There were quality audits in place which were monitored through robust governance processes and audits in place to assist with the continued learning and development of the service.
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.
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 25 October 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.