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Westdene Residential Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 22 July 2021

During an inspection looking at part of the service

About the service

Westdene Residential Home is a residential care home that was providing personal care to 39 people aged 65 and over at the time of the inspection, some of whom were living with dementia. The service can support up to 40 people.

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

People at Westdene Residential Home did not always receive a safe, effective and well led service. We identified concerns relating to people's safety. This included poor oversight of fire safety issues and the lack of guidance for staff on how to support people in the event of a fire emergency situation. This put people at risk.

The environment, which accommodated people who were living with Dementia, was not designed and decorated in line with best practice guidance. We made a recommendation about this.

Staffing levels at night did not meet the individual needs of people using the service in the event of an emergency situation. We have made a recommendation about this.

Staff training was out of date which meant staff may not have the appropriate skills and knowledge to support people’s individual care needs.

People did not always receive person-centred care and care records did not fully reflect their needs. Staff lacked guidance in relation to people’s individual fluid intake and records completed were inaccurate.

The provider had not effectively operated their quality assurance systems to oversee the safety and quality of the service.

Medicines were not always managed safely. The provider's policies and protocols were not being followed by staff and management.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; policies and systems in the service did not support this practice.

People and their relatives told us they were happy with the care and support they received.

Systems were in place to recruit staff safely.

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

Rating at last inspection

The last rating for this service was good (published 26 July 2019) at this inspection the service is rated requires improvement.

Why we inspected

The inspection was prompted in part due to previous concerns received about risk assessments within the service in relation to wheelchairs and the use of lap belts. Concerns were also raised in relation to safe recruitment and leadership of the service. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safety of the service, need for consent, staff training and the provider's oversight and governance arrangements. Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request a

Inspection carried out on 27 June 2019

During a routine inspection

About the service

Westdene Residential Home is a residential care home that was providing personal care to 38 people aged 65 and over at the time of the inspection, some of whom were living with dementia. The service can support up to 40 people.

The care home accommodates people in one adapted building that has been extended over the years and is on two floors. Bedrooms are mainly single occupancy, some with en-suite facilities. People share the lounges, dining rooms, activity rooms and gardens.

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

People were safely supported in terms of managing risks, staffing, safeguarding incidents, the suitability of the premises, handling medicines and maintaining good standards of hygiene.

Effective systems were operated for supporting staff with their care skills, training and supervision. The service was effective at offering people choice in their lives, good nutrition and hydration and support with their health care needs. The service was proactive when working with other agencies and ensuring appropriate premises design. People had maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The staff in the service were caring, understanding and treated people well. They understood about people’s diversity and individual needs and respected their privacy, dignity and independence. People expressed their views about their care and these were listened to.

People were supported in a person-centred way and had their individual communication needs assessed and met. They were encouraged to establish and maintain relationships with friends and family and had ample opportunity to engage in activities, pastimes and being occupied. Complaints were satisfactorily addressed and managed. People received responsive and compassionate care at the end of their lives.

The culture of the service was positive and lively. Staff understood about the effects of maintaining a quality service and managed risks well. The provider met their registration responsibilities and requirements, engaged and involved people well and looked for ways of improving the quality of care. They also worked well in partnership with other organisations and professional bodies.

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

Rating at last inspection

This service was registered with us on 2 July 2018 and this is the first inspection following a change of registered provider.

Why we inspected

This was a planned inspection.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.