Westbourne Care Home

Updated 28 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 23 and 25 January 2019 and was unannounced. The inspection was carried out by one inspector. We spoke with three people using the service and four relatives. We spoke with the manager, the operations manager, a registered nurse, two shift leaders, the head cook, the activities coordinator, the administrator, the trainer and four members of care staff.

We reviewed records for four people using the service and looked over the premises of the care home. We examined records relating to staff recruitment and the management of the service.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we have about the service including notifications. A notification is a report about important events which the service is required to send us by law.

Updated 28 February 2019

Westbourne 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. Westbourne Nursing Home accommodates 36 people in one adapted building. At the time of our inspection visit there were 28 people living at the care home.

At our previous inspection in April 2016 the service was rated "Good". At this inspection we found the service remained "Good". At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At the time of our inspection visit Westbourne Nursing Home did not have a registered manager 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. The current manager was planning to apply to be registered with the CQC.

We heard positive comments about the service such as “I’m quite happy here”. “I am very happy we chose Westbourne” and “Very pleased with Westbourne and the caring staff”.

People were protected from harm and abuse through the knowledge of staff and management. Robust staff recruitment procedures were used and staff were supported through training and meetings to maintain their skills and knowledge to support people. Sufficient staff were deployed.

We found the environment of the care home was clean and had been well maintained. People’s medicines were managed safely using a new electronic system.

People received personalised care and support from caring staff who respected their privacy, dignity and the importance of independence. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People had opportunities to take part in a variety of activities. People were supported to maintain contact with their relatives. There were arrangements in place for people and their representatives to raise concerns about the service. Care was provided for people at the end of their life.

The provider had informed commissioners of their decision to end provision of nursing. A plan was being followed to end the provision of nursing care at the care home. Effective quality monitoring systems were in operation.

Further information is in the detailed findings below.