Westerley Residential Care Home for the Elderly - Minehead

Updated 30 September 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 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

Westerley Residential Care Home for the Elderly 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. Westerley Residential Care Home for the Elderly 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 looked at the information we had received from and about the service.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with nine people who lived at the home and three visitors. We also spoke with six members of the care staff team.

The registered manager was available throughout the inspection.

We looked at a sample of records which related to people’s individual care and the running of the home. These included; three care and support plans, minutes of staff and resident’s meetings, in house audits and audits carried out by the provider, Staff training records and health and safety checks.

Updated 30 September 2022

About the service

Westerley Residential Care Home for the Elderly is a care home providing accommodation and personal care. The home is registered to provide care to a maximum of 30 people. The home specialises in the care of older people. At the time of the inspection there were 26 people living at the home.

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

People felt well cared for at the home.

The home followed a Christian ethos and there were devotional services most mornings which people could choose to join.

People said staff supported them to follow their own routines and lifestyles. People made choices about their day to day lives.

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 had their needs assessed and received care and support in accordance with their needs and wishes. Staff knew people well and care plans gave guidance for staff to follow.

People’s nutritional needs were assessed and met. People living at the home were happy with the quality and choice of food.

People’s health and well-being was monitored, and staff worked with other professionals to make sure people received the care and treatment they required.

People had confidence in the staff who supported them. However, some staff said they would appreciate more high-quality training to make sure they could meet people’s increasing needs. Some staff had not received up to date training in subjects required by the provider.

We have recommended that the provider reviews the training available to staff.

People had opportunities to follow their faith and there were activities available. The staff were expanding activities and entertainment available to people following the COVID-19 pandemic.

People lived in a home where the registered manager was very visible in the home and constantly monitored standards of care and sought people’s views.

The provider had some systems in place to monitor quality and plan on-going improvements.

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

Rating at last inspection – The last rating for this service was good (Published 23 October 2017)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We received concerns in relation to person-centred care and how staff supported people to make choices. As a result, we undertook a focused inspection to review the key questions of effective, responsive and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern.

Please see the Effective, Responsive and Well led sections of this full report.

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 not changed from Good based on the findings of this inspection.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.