Westfield Residential Home

Updated 23 June 2018

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

This was a comprehensive inspection which took place on 25th April 2018 and was unannounced.

The inspection team consisted of two adult social care inspectors.

Before the inspection, we reviewed the Provider Information Return (PIR) that the provider completed in January 2018. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also contacted the quality monitoring team and safeguarding team at East Riding of Yorkshire Council.

During the inspection we completed direct observations of the staff group and how they offered care to people. We spoke with three people who used the service, three visiting relatives and a visiting nurse practitioner, to gain their experiences of Westfield Residential Home.

The director and registered manager supported us throughout our visit.

We also spoke with one senior carer, two care workers and the cook.

Updated 23 June 2018

Westfield Residential Home is a home for up to 23 people who may be living with dementia. At the time of our inspection 23 people were using the service. Westfield Residential Home is a family run home with a registered manager who has been in position for over 15 years. The registered manager was actively supported by the director. The management had a clear vision and spoke passionately about the service they delivered and the continuous improvements they were working towards achieving. However, we found the quality assurance systems in place were not used effectively to identify trends and lessons learnt.

The care workers kept people safe by monitoring and risk assessing safety equipment and utilities and infection control measures were effective. There was a communal lounge and dining room and areas for people to sit quietly if they wished. Bedrooms were personalised and staff were clear about the importance of paying attention to people’s well-being, privacy, and independence.

The service provided safe staffing levels, and care workers received supervision and training. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service provided a good standard of care to the people who lived there. The care workers were aware of people’s needs and treated them with dignity and respect. They listened to people and their needs and acted accordingly when asked for assistance. People who lived at Westfield Residential Home told us they felt safe and well cared for. When we discussed safeguarding with staff, we found they understood their responsibility to protect vulnerable adults from abuse and poor practice. Staff ensured documentation was regularly reviewed in order to ensure they continuously met the person’s changing support requirements.

Staff supported people to live as they chose and to enjoy a variety of activities. People were supported to keep in touch with family and friends and visitors were made to feel welcome. Staff and relatives were aware of how to raise concerns and were confident any issues would be dealt with promptly.

Medicines were managed safely. We saw medicines being administered to people in a safe and caring way.

Staff were knowledgeable about people's needs and we found that people were receiving the care they required. However, training required updating in safeguarding, mental capacity and DOLS.

Staff were aware of people's nutritional needs. Support was provided with eating and drinking, people were supported to maintain a healthy diet, and people's dietary needs and preferences were catered for.

Further information is in the detailed findings below.