• Care Home
  • Care home

Archived: Westhaven

Overall: Requires improvement read more about inspection ratings

146 Huddersfield Road, Dewsbury, West Yorkshire, WF13 2RW (01924) 461720

Provided and run by:
Catholic Care (Diocese of Leeds)

Latest inspection summary

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Background to this inspection

Updated 1 March 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was conducted by one adult social care inspector and one assistant inspector.

Service and service type:

Westhaven is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (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 on short term leave during our inspection but there was an acting manager who was managing the service in their absence and was fully available during this inspection.

Notice of inspection:

This inspection visit was carried out on 29 January 2019 and was unannounced. Inspection activity started on 29 January 2019 and ended on 4 February 2019.

What we did:

Before the inspection, we reviewed all the information we held about the service including previous inspection reports and notifications received by the CQC. A notification is information about important events which the service is required to tell us about by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to decide which areas to focus on during our inspection. We requested and received feedback on the service from the local safeguarding teams and commissioners.

During the inspection, we spoke with three people using the service and two relatives of people using the service. We spoke with four staff; this included the area manager, acting manager and care workers. We looked at care records for two people using the service including support plans and risk assessments. We analysed three medicine administration records. We reviewed training, recruitment and supervision records for two staff including competencies. We looked at various policies and procedures and reviewed the quality assurance and monitoring systems of the service.

After the inspection, we exchanged emails with the acting manager for additional evidence and updates on the actions being taken by the provider following this inspection.

The report includes evidence and information gathered by inspector and assistant inspector. Details are in the key questions below.

Overall inspection

Requires improvement

Updated 1 March 2019

About the service:

Westhaven provides accommodation, care and support for up to seven people with learning disabilities. At the time of our inspection, there were four people living at the service.

People's experience of using this service:

¿ People told us they were safe and well cared for living at Westhaven and their independence was encouraged and maintained. One person said, “I'm happy here.”

¿ We found one breach of the regulations in relation to consent. The provider was not completing decision specific mental capacity assessments and best interest decisions for people who might lack the capacity to make decisions about their care.

¿ We found some improvements had been made in relation to providing safe care and treatment however, the provider continued in breach of regulations because not enough improvements had been made in relation to the safe management of people’s medicines, assessment of staff’s competency to administer medication and information in people’s risk assessments. We also found concerns in relation to fire safety.

¿ The service met the characteristics of requires improvement in three out of the five key questions. This is the third time Westhaven in rated as requiring improvement.

¿ We have made three recommendations in relation to medicines, consent and quality assurance.

¿ The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

¿ People were involved in meaningful activities that maintained and enhanced their skills and abilities.

¿ People were supported by staff who were motivated, enjoyed their job and felt well supported through regular supervisions and training.

¿ The management had a clear vision about the quality of care they wanted to provide and there were plans to improve the service.

¿ More information is in the full report.

Rating at last inspection:

At our last inspection the service was rated requires improvement overall. Our last report was published on 10 January 2018.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Enforcement:

Information relating to the action the provider needs to take can be found at the end of this report.

Follow up:

We will continue to monitor the service to ensure that people received safe, high quality care.

Further inspections will be planned for future dates. We will follow up on the breaches of regulations and recommendations we have made at our next inspection.