West View Integrated Care Centre

Updated 14 August 2019

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.

Our last inspection (14 March 2018) was prompted in part by a number of notifications of incidents following which people using the service died or sustained a serious injury. These incidents were subject to a safeguarding investigation. No further action was taken following the investigation.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

West View Integrated Care Centre 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 used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with five people who used the service and three relatives about their experience of the care provided. We spoke to the registered manager, and four staff. We reviewed care plans and other documents relating to six people’s care. We also looked at documents relating to the running of the service including, two staff recruitment files, staff training records, safety checks and audits.

Updated 14 August 2019

About the service

West View Integrated Care Centre is a residential care home providing personal care to 20 people aged 65 and over at the time of the inspection. The service can support up to 40 people. The service is purpose built, with support being provided in two units. One unit supported people living with dementia and the other for older people with a variety of care needs. Five of the people supported live at the service permanently. All the other people were supported for short stays for respite or to enable people to leave hospital, have their needs assessed or be supported to regain their independence to return to their home.

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

People and their loved ones told us that staff were welcoming, supportive and caring. People were involved in planning their own care both at the service and when they moved on. Staff supported people to maintain and develop independent skills.

People’s needs were assessed prior to using the service. They were supported to have the food and drink they enjoyed in a way that helped them stay healthy. Staff worked closely with other professionals to support people’s health. Effective systems were in place to support people when moving in and out of the service. 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 told us they felt safe at the service. Staff understood their role in safeguarding people from abuse. Risks to people had been assessed and plans to minimise risks were updated throughout their stay. People’s medicines were managed safely and by trained competent staff. Staff understood the need for infection control and the service was clean and free of odours.

People received person centred care based on their needs and preferences. Care plans reflected the care given and contained details about the person’s life history. People were supported to take part in a range of activities and could have visitors at any time. People’s care plans contained details of their end of life wishes. People were asked for their views on the service via surveys and resident’s meetings.

People and staff told us the management team were approachable and open to suggestions. There were enough staff to meet people’s needs and they were recruited safely. Complaints were dealt with in line with the providers procedure and used as a tool to drive improvement. Audits were completed and accidents and incidents reviewed. Shortfalls were identified and action was taken to resolve. Learning was shared with staff and when relevant people and their loved ones.

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 02 August 2018) and there were multiple breaches of regulation. 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.

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.