22 March 2018
During a routine inspection
The care service is aware of the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. There were currently no plans to reduce the size of the service or amend the current registration at Westleigh House but people using the service were living as ordinary a life as any citizen.
At the last inspection, the service was rated Good.
At this inspection, we found the service remained Good.
Why the service is rated Good.
Safety arrangements protected people. This included recruitment, staffing, preventing infection, medicine management, and maintaining the premises. Staff knew how to recognise and protect people from abuse and discrimination.
Systems for risk management were not fully robust. Although risk from pressure damage was mitigated, this risk was not formally assessed and staff said they had not received training in pressure sore prevention in recent years. We recommend the provider to review the arrangements for protecting vulnerable people from pressure damage.
People received a caring service, which recognised their need for privacy and respect. All engagements between staff and people using the service were friendly, relaxed, gave people value and showed they were cared for. People’s family members said, “I’ve always felt it was a very family atmosphere.”
People lived full lives according to their preference and ability. The premises were adapted so that people had equal access to shared areas, and their private rooms were personalised.
Staff skill, competence, and effectiveness helped them provide the care and support people needed. Staff described their training as “High Standard”. People’s family members said there was a consistent team of staff, who knew people very well.
Staff upheld people’s legal rights. This included gaining their consent to care and treatment and upholding the principles of the Mental Capacity Act 2005.
People received a nutritious, varied diet, meeting their individual health care needs. Attention was given to health monitoring, particularly as people’s needs changed with age. This included appropriate requests for advice and treatment from external health care professionals.
Detailed, well organised, care and support plans provided staff with the information they needed to provide person centred care. An understanding by staff of people’s communication helped them provide that care because they knew what people wanted.
Staff felt well supported and praised the approach of the registered manager. Audits, and monitoring, carried out in-house and through the provider, ensured any problem could be identified and rectified. People, their families and others were encouraged to offer their thoughts and ideas.
The registered manager understood and met their legal responsibilities.