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Reports


Review carried out on 7 October 2021

During a monthly review of our data

We carried out a review of the data available to us about West Park Care Home on 7 October 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about West Park Care Home, you can give feedback on this service.

Inspection carried out on 27 May 2021

During an inspection looking at part of the service

About the service

West Park Care Home is a residential care home providing personal and nursing care to 28 people aged 65 and over at the time of the inspection. The service can support up to 40 people.

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

There were improvements in the way medicines were managed, recording of important information and governance systems. There remained some improvements needed in quality monitoring, especially in relation to environmental checks, redecoration and refurbishment. The registered manager was developing a plan to address these issues.

People were safeguarded from the risk of abuse and harm. Risk assessments were completed and reviewed when people’s needs changed. People received their medicines as prescribed and in a safe way. There were good systems in place to manage and plan for future outbreaks of infections including COVID-19.

Staff were recruited safely and there was enough staff to support people. Relatives and people who lived at the service were very positive about the staff team describing them as kind and thoughtful.

The provider and registered manager had developed a culture of openness and inclusiveness. People were able to raise issues of concern and had meetings where they could make suggestions, for example about meal changes or additions.

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 requires improvement (published 12 December 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 29 and 30 October 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve medicines management, quality assurance systems and recording.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for West Park Care Home on our website at www.cqc.org.uk.

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.

Inspection carried out on 29 October 2019

During a routine inspection

About the service

West Park Care Home is a residential care home providing personal care to 33 people aged 65 and over at the time of the inspection. The service can support up to 40 people.

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

People had not consistently received their medicines as prescribed and there were gaps in recording of medicines, so it was difficult to audit them.

There was not enough management oversight regarding daily cleaning routines and checking staff had completed tasks they were supposed to carry out. The registered manager told us they would monitor this more closely. We have made a recommendation about the provider sourcing a tool to help audit cleanliness. The provider’s quality monitoring systems had not been effective in identifying the concerns or areas for improvement, so they could be addressed.

Staff were recruited safely and had checks completed before they started work. People told us they did not have long to wait for staff to attend to them and they thought there was enough staff. We received information just after the inspection, which described a possible shortfall in staff numbers in the mornings. This was discussed with the registered manager to investigate further. We have made a recommendation about the provider sourcing a tool to help calculate staffing numbers.

Staff knew how to protect people from the risk of harm and abuse and people told us they felt safe in the service. People had their needs assessed, which included areas of risk and what staff had to do to minimise incidents occurring.

People told us they liked living in the home and the staff were kind and caring. They said staff respected their privacy and treated them well. 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.

People’s nutritional and health needs were met; staff contacted health care professionals quickly when needed. People told us they liked the meals, had choices, and had enough to eat and drink.

Staff completed a range of training and had support systems in place such as supervision meetings to discuss their development needs.

The provider and registered manager followed up any complaints to make sure people were happy with the outcome of any investigations.

For more details, 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 1 November 2018 and this is the first inspection.

The last rating for this service was good (published 21 February 2017). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the date the new provider was registered with CQC.

Enforcement

At this inspection, we have identified breaches in relation to the management of medicines and how the quality of the service provided to people is monitored so improvements can be made.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.