Westbury Nursing Home And Westbury Garden Suite

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

People told us staff were caring and they felt safe. We observed staff deliver care and support in a kind and compassionate manner. Risk assessments were clear and readily identified how to mitigate them. There were enough staff on duty and staff were recruited safely. People were protected from abuse by staff who understood how to identify and report any concerns. Incident monitoring records were appropriately used to understand themes and reasons for the events. Medicine management was effective. Staff adhered to COVID regulations and procedures.

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.

Staff were enthusiastic and happy in their work. They felt supported within their roles. Staff described working together as a team, they provided person-centred care and helped people to achieve their potential. Quality monitoring systems were in place, and the provider completed various audits to assist them in monitoring and helping them to identify how to improve people's experiences.

The registered manager encouraged feedback from people, staff and professionals involved in people's care. Staff worked closely with health professionals and external agencies to promote good outcomes for people.

Rating at last inspection

The last rating for this service was Good (published 21 October 2017). At this inspection the rating had remained Good.

Why we inspected

This inspection was carried out as the service had not been inspected since the 12 and 13 September 2017. We undertook this focused inspection to check the service was safe and well-led.

This report only covers our findings in relation to the Key Questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the home has remained good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westbury Nursing Home and Westbury Garden Suite on our website at www.cqc.org.uk

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.

At this inspection we found sufficient actions had been taken and improvements made to address the breach of regulation, and we rated the service had remained good.

Why the service is rated good:

The Westbury Nursing Home and Garden Suite provides accommodation and nursing and personal care for up to 114 people. At the time of our inspection visit, 105 people were living in the home.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

Where people were supported with medicines, we found they were managed safely. Risk assessments and risk management plans were in place.

People’s care records were personalised, with evidence of people’s involvement, with choices and preferences taken into account.

Audits were in place to identify shortfalls and actions were completed to make any necessary improvements.

Safe recruitment procedures were followed before new staff were appointed. Appropriate checks were undertaken to ensure staff were of good character and suitable for their role. The staff induction programme was comprehensive. Staff views were positive about the support, guidance, training and supervision they received.

People were cared for in a kind, caring and respectful way. People were supported to maintain their health and the service liaised with other external health professional when needed.

A wide range of activities were provided and community involvement was actively encouraged.

People who used the service, relatives, external health professionals and staff all spoke highly of the leadership and management of The Westbury Nursing Home and Garden Suite.

People told us they were involved in planning their care, one person told us 'I can tell them if I want to change anything in my care plan'. We found that care plans were sufficiently detailed and gave staff information about how to support people in the home. These were reviewed regularly. This meant staff were guided by up to date information when they assisted people with their needs.

People told us the food was lovely, one person told us 'there is always enough food, and you can have seconds if you wish' and 'there is always choice and if you don't fancy anything on the menu, the chef will cook something else'.

Every person we spoke with had positive opinions about the staff who worked in the home, people told us 'the staff are lovely' and 'if they can do anything for me they will".