Westfield Park Care Home

Updated 15 June 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 planned this inspection to check 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 team on day one consisted of one inspector, a specialist advisor who was a nurse, and an Expert by Experience (ExE). Day two was completed by one inspector and an ExE, and day three by an inspector and a medicines inspector. An ExE is a person who has personal experience of using or caring for someone who uses this type of service.

Service and service type.

Westfield Park Nursing Home 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 two managers registered with CQC. 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 on the first day.

What we did before the inspection.

We reviewed information we had received about the home from the provider since the last inspection. We requested and received feedback from the local safeguarding and Healthwatch teams. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). 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 11 people who used the service, six visitors and a healthcare professional who was visiting the home. We spoke with both of the registered managers, two assistant managers, and six care and ancillary staff. We also spoke with a clinical lead and quality assurance manager for the organisation.

We reviewed a range of records. This included nine peoples care records in detail, an additional 17 in part, and 19 medication records. We looked at six staff files in relation to recruitment, supervision and appraisal, and a variety of other documents relating to the management of the service, including records used to monitor the quality and safety of the home.

We completed checks of the premises and observed how staff cared for and supported people, and observed a meal time experience in each part of the home.

After the inspection.

We continued to seek clarification from the provider to corroborate evidence found. We looked at training records and further quality assurance records. We reviewed three pieces of written feedback provided by care staff at the home and received written feedback from a further three health and social care professionals.

Updated 15 June 2019

About the service.

Westfield Park Nursing Home is a care home that provides accommodation for people who require nursing and personal care. The home can accommodate up to 111 people. One part of the home provides care to people living with dementia, and the other, to people requiring nursing care. At the time of this inspection 83 people were living at the home.

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

People and staff had access to, and support from, an experienced management team. The provider and registered managers were open and approachable, which allowed people to share their views and raise concerns. These were taken seriously.

We found improvements had been made to the quality of the service and running of the home. A second registered manager had been recruited, and along with the existing manager and provider, had driven up the quality of the service. Staff had worked hard to bring about the improvements.

There was an improved governance framework in place to allow for the quality and safety of the care provided to be monitored. The service used the framework to highlight and address issues, provide action plans and improve the quality of care provided to people.

The environment had undergone improvements with parts of the service being refurbished. This work was ongoing. The environment was clean and protected people from the risk of infection. It was tidy and well maintained.

Staff demonstrated caring values and showed positive regard for what was important to people in their care. Their relationships with people promoted good levels of wellbeing and independence, which supported some people to achieve positive outcomes.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff respected people’s privacy and dignity and their approach was caring and considerate. People were relaxed and happy. Staff addressed people by their names, took time to talk to them and ensured people were comfortable and included in conversations.

Support plans were person centred and captured people’s preferences and life histories. Staff tailored their support to how people liked it.

Medicines were managed safely. There were enough safely recruited staff employed so that people received care when they needed it. Staff were well-organized and well trained. People told us they felt happy and safe in the service. Relatives said they were happy their family members were living at the home.

People had access to a range of activities to keep them as active as possible both mentally and physically. Staff embraced new ideas for enhancing people's wellbeing and used technology for people to keep in touch with relatives.

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.

At the last inspection we gave the service a rating of requires improvement (published April 2018) and there was one breach of regulation. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider is no longer in breach of regulation.

Why we inspected.

This was a planned inspection based on the previous rating.

Follow up.

We will continue to monitor intelligence 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.