Westholme

Updated 14 January 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Westholme is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and one relative about their experience of the care provided. We also spoke with a visiting health professional. We spoke with four members of staff as well as the registered manager, assistant manager and area manager

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at one staff file 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 14 January 2020

About the service

Westholme is a residential care home providing personal care to 13 people at the time of the inspection. The care home supports people who have acquired brain injuries or conditions associated with their mental health. The service can support up to 14 people.

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

People were supported by staff who knew how to report any concerns of abuse and manage risks to keep people safe. Staff were safely recruited and there were enough staff on duty to meet people’s needs. Medicines were managed safely and there were effective infection control practices in place.

Peoples needs were assessed in line with guidance. People’s dietary needs were met and people had been supported to access healthcare services where needed. The design and décor of the service met people’s needs.

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 were supported by staff who they reported were kind and caring. People were treated with dignity and were encouraged to maintain their independence.

Staff knew people well and supported people in line with their preferences. People were able to take part in activities that met their individual interests. Complaints made were investigated and resolved.

People and staff felt the service was well led. There were systems in place to monitor quality and people were supported to provide feedback on the service. There was a commitment from the provider and registered manager to continuously learn and improve care for people.

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 good (published 10 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.