Westley Court Care Home

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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

This service scored 75 (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.
Care records were reviewed routinely through a resident of the day process, which enabled staff to systematically check care plans and assessments remained accurate, reflected people's current needs, and were updated promptly. One staff member told us, “We speak to people to make sure they are happy with their support or speak to the person or their family.”
Staff used a range of recognised assessment tools to identify risks and determine the actions required to minimise them. These included Body Mass Index (BMI) assessments, which help identify whether a person may be at risk of being underweight or overweight, and Waterlow assessments, which are used to assess an individual's risk of developing pressure ulcers. The outcomes of these assessments informed care planning and enabled staff to implement appropriate measures to support people's health and wellbeing.
Staff held daily meetings to discuss people's needs and any changes in their health or wellbeing. These meetings enabled staff to identify individuals who required increased monitoring or additional support. The provider also maintained oversight of care planning through monthly audits of care records. These audits identified any gaps, inconsistencies or areas for improvement, and managers monitored actions to completion. Records showed actions were signed off once the required improvements had been made.
 

The provider delivered care and treatment in line with people's assessed needs and professional guidance. Where people required meals and drinks to be prepared to a specific consistency, a speech and language therapist (SALT) had assessed their needs and provided recommendations. Staff recorded this information in care records, and catering staff understood which people required modified diets. This helped to reduce the risk of choking and ensured people received food and drink safely.
Staff completed monitoring charts where required to assess people's health and wellbeing and identify any changes in their condition. These records enabled staff to monitor areas such as nutrition, hydration and other identified health needs, helping to ensure people received appropriate support and timely interventions when concerns were identified.
However, we found some care plans lacked specific clinical guidance to direct staff on how to meet certain health needs consistently. We raised this with leaders during the assessment, and they provided assurances they would review and update care records to ensure they accurately reflected people's assessed needs and contained clear guidance for staff to follow.
 

The provider worked effectively with staff, teams and external services to support people and achieve positive outcomes. Staff shared information appropriately to ensure continuity of care, and people and staff spoke positively about communication and support. Staff worked collaboratively with healthcare professionals, making timely referrals when needed, such as to physiotherapy and independent living services. Communication systems, including daily handovers and flash meetings which are focused discussions held to share important information about people including any changes in their health, wellbeing, needs, risks or support requirements, helped staff respond consistently to people's needs. A healthcare professional told us communication was generally good, although there were occasional instances where updates from previous visits had not been reviewed, leading to queries about issues that had already been addressed.

The provider supported people to manage their health and wellbeing in ways that maximised their independence, choice and control. Staff encouraged people to take an active role in maintaining their health and supported them to access routine healthcare services, including dentists, opticians and chiropodists, to help meet their ongoing health needs.
Staff worked with people to achieve individual health goals where appropriate. For example, 1 person was being supported to lose weight. Staff monitored their progress and provided tailored support, encouragement and guidance to help them achieve this goal and improve their overall wellbeing.
 

The provider monitored people's care and treatment to ensure it remained effective and met their needs. Staff completed monitoring records when required, including for food and fluid intake, and reviewed these at daily meetings. This enabled staff to identify when people were not meeting agreed targets and take appropriate action to support their health and wellbeing.

The provider promoted people's rights to make their own decisions and respected their choices when delivering care and treatment. Staff supported people to participate in decisions about their care and provided information in a way they could understand. Where people required additional support with decision-making, the provider involved appropriate representatives. For example, an advocate supported 1 person to express their views and make informed decisions about their care and treatment.
Staff completed mental capacity assessments when there were concerns about a person's ability to make specific decisions. Where people lacked the capacity to consent, staff followed the principles of the Mental Capacity Act 2005 (MCA) and carried out best interest decision-making processes. Records showed staff documented capacity assessments and best interest decisions appropriately, including decisions relating to restrictions on people's care and support. This helped to ensure staff acted lawfully and in people's best interests while protecting their rights and freedoms.