Background to this inspection
Updated
10 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team:
Consisted of an inspector, an assistant inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
Westerley Residential Care Home for the Elderly is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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 the registered manager and provider are legally responsible for how the service is run and for the quality and safety of the care provided.
What we did:
Before the inspection we reviewed all the information that we have in relation to this service. This included notifications. A notification is information about important events which the provider is required to send us by law. The provider completed a Provider Information Return (PIR). This 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.
During our inspection:
We observed how the staff interacted with the people who used the service and looked at how people were supported throughout the day. We spoke with 10 people, five relatives/visitors, the registered manager, a representative of the provider, four care staff and two ancillary staff.
We looked at three people's care and support records. We viewed records relating to the management of the service. These included quality audits, medication records, incident and accident records.
Updated
10 May 2019
About the service:
Westerley Residential Care Home for the Elderly is a care home. People in care homes receive accommodation and personal care under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Westerley Residential Care Home for the Elderly provides a service for up to 20 older people, some of whom may be living with dementia. At the time of the inspection there were 19 people living at the service. Accommodation is provided over two floors and people have access to communal areas.
People’s experience of using this service:
• People lived in an environment that was in need of re-decoration.
• Staff understood the risks to people and the measures in place to keep them safe. Systems were in place to manage people's medicines safely and to reduce the risks associated with the spread of infection.
• Staff received training that gave them the necessary skills and knowledge to carry out their roles and meet the specific needs of people using the service. There were enough staff on duty to deliver support to each person in the way they wanted.
• People were supported to maintain good health. Staff made referrals to health professionals when required.
• People were provided with the care, support and equipment they needed to stay independent. Staff were kind and caring and had developed good relationships with people using the service.
• People were supported to maintain their health and had access to food and drink based on their individual choice and preferences. People had access to a range of activities in the community and within the service, that reflected their culture and interests.
• Care plans guided staff to provide support that met people's needs which were in line with their preferences.
• People's privacy, dignity and rights were respected and upheld. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible
• Systems were in place to monitor the service, which ensured that people's risks were mitigated and lessons were learnt when things went wrong. There was an open culture within the service, where people and staff could approach the registered manager who acted on concerns raised to make improvements to people's care.
Rating at last inspection:
Good (report published 25 August 2016).
Why we inspected:
This was a planned inspection based on the rating at the last inspection. The service remains Good.
Follow up:
We will continue to monitor all intelligence received about the service to ensure the next inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk