Archived: Westbourne House

Updated 28 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was completed by one adult social care inspector.

Service and service type:

Westbourne House is a ‘care home’. People in care homes receive accommodation and nursing or personal care. 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:

Prior to the inspection visit we gathered information from several sources. We also looked at the information received about the service from notifications sent to the Care Quality Commission by the registered manager. We asked the provider to complete 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 contacted health and social care commissioners who help arrange and monitor the care of people living at Westbourne House. We also contacted Healthwatch Sheffield. 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 feedback we received from these organisations to plan our inspection.

During the inspection we spoke with five people living at the home and two relatives or friends of people to obtain their views of the support provided. We observed the daily life in the home including the care and support being offered to people.

We spoke with the registered and deputy managers, a support worker and housekeeper.

We looked around different areas of the service; the communal areas, bathrooms, toilets and with their permission two people’s rooms.

We looked at three people's care records and medicine administration records, three staff records and other records relating to the management of the home, such as training records and quality assurance audits and reports.

Updated 28 June 2019

About the service:

Westbourne House is a care home providing personal care and accommodation for up to 11 people who have mental health needs. The home is situated close to Hillsborough shopping centre, with easy access to local amenities. The home is on two levels and does not have lift access to the second floor, but has a chair lift up the stairs which has been assessed for one person to use. All the bedrooms are single; the bedrooms do not have en-suite facilities. The home has a car park and accessible gardens. At the time of our inspection there were 11 people using the service.

People’s experience of using this service: Staff knew how to keep people safe from harm and abuse. People had risk management plans to enable them to stay safe while doing the activities they wanted to do.

The premises were suitably adapted for the people living there and the home was clean and safe to use although we noted an unpleasant odour in one area of the home which the provider was trying to address and minimise.

Systems were in place for ordering, administering and disposing of medicines safely. Records showed people received their medicines as prescribed.

There were enough suitable staff to care for people safely, and staff received appropriate training and support.

People had a choice of suitable food and drink and received support to eat and drink enough to remain healthy. Staff consulted with other services, including health professionals, to ensure people’s healthcare and other needs were met.

People were supported to have choice in their daily lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff gained people’s consent before providing care to them or, if people did not have capacity to consent, took appropriate steps to ensure care they received was in their best interests.

People were supported in a friendly and respectful way. Staff were aware of people's personalities and behaviours. People told us staff supported them in a patient and unhurried manner. People and relatives said that staff were caring.

People knew how to make a complaint. There was an effective complaints process in place. Complaints were thoroughly investigated, and action taken to address the complaint raised.

Care at the end of people's lives had been considered and recorded in their care plans.

Staff we spoke with felt supported by the registered manager and provider and felt valued. Audits were in place to identify areas which required attention and action plans were devised as needed.

People and relatives told us the home was managed well and had confidence they could approach staff and management if they needed to.

Rating at last inspection: Good (report published 10 January 2017).

Why we inspected: This was a planned comprehensive inspection based on the rating at the last inspection.

Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. We plan to complete a further inspection in line with our re-inspection schedule for those services rated good. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk