Background to this inspection
Updated
30 June 2022
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 Health and Social Care Act 2008.
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 carried out by one inspector.
Service and service type
Westdene Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Westdene Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
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 other professionals involved with the service. We used all this information to plan our inspection.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with two people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, head of care and care workers.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three 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.
Updated
30 June 2022
About the service
Westdene Residential Home is a residential care home that was providing personal care to 35 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 received a safe, effective and well led service.
Since the last inspection, the provider improved the quality of care records in relation to people’s safety. Care records contained information about people’s needs and risks. People’s preferences and choices were considered and reflected within records. Fire safety issues had been addressed and regular fire drills carried out to ensure people’s care needs were identified in the event of an emergency situation. Staffing levels had improved at night to meet people’s individual needs.
Improvements to the environment had been made to make the home more dementia friendly by adding name boards to people’s doors and painting the doors different colours to help people identify their own rooms.
Staff training was up to date, which meant staff had the appropriate knowledge and skills to carry out their role.
Medicines were managed safely. Staff received training and competency checks in relation to medicines.
Staff demonstrated a good level of understanding in relation to safeguarding. Appropriate referrals to the local safeguarding team had been made.
People, relatives and staff spoke positively about the registered manager and felt able to raise concerns and were confident that these would be addressed. People and relatives said they felt the service was safe and that people were well supported and received good quality care.
Staff knew people well and were knowledgeable about when to refer to other health professionals for advice and support. 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.
Good systems were in place to protect people from abuse. The service had implemented an electronic recording system which had improved recording and oversight of care such as food and fluid charts and medicines.
People enjoyed the food provided and were supported to make sure they had enough to eat and drink.
The registered manager and provider were responsive to feedback and committed to improving the service.
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 18 October 2021).
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.
At our last inspection we recommended that the provider reviewed staffing levels at night in order to support people’s safety needs. At this inspection we found improvements had been made to staffing levels.
At our last inspection we recommended that the provider considered best practice and national guidance to ensure the service was adapted to provide a dementia friendly environment. At this inspection we found improvements had been made to the environment which made the home more dementia friendly.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last 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 coronavirus and other infection outbreaks effectively.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
The provider has taken action to effectively mitigate the risks identified in the previous inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westdene Residential 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.