Updated 13 November 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by two inspectors and a Pharmacy inspector.
We were supported by An Expert By Experience who made telephone calls to three family members post inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Westgate is a ‘care home’. People in care homes receive accommodation and personal care as a 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.
The registered manager was not available at the time of inspection. The Regional Director was at the service during the inspection.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 20 September 2021 and ended on 24 September 2021. We visited the office location on 20 September 2021, with follow up family calls on 21 September 2021 and an online meeting with the Regional Director on 24 September 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider completed a provider information return on 18 August 2021. 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 used all of this information to plan our inspection.
During the inspection
We observed and/or spoke with three people who used the service about their experience of the care provided. We received feedback from two family members. We spoke with five members of staff including the Regional Director, team leaders and care workers. The Regional Director is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two 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 continued to seek clarification from the provider to validate evidence found and check people were safe. We looked at training and recruitment data as well as health and safety documentation including legionella, fire and food safety documentation.