Background to this inspection
Updated
10 January 2018
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.
The inspection took place on 10 and 13 November 2017 and was unannounced on the first day. The inspection was carried out by an adult social care inspector and an expert by experience. An expert by experience is a person who has personal experience of using, or caring for someone who uses this type of care service.
Before the inspection we looked at information CQC had received including an 'Enter and View' report from Healthwatch Wirral. During our visit we spoke with ten people who used the service, six relatives, and nine members of staff. We observed lunch being served in the ground floor dining room.
We looked at care plans for four people who used the service, medication records, staff records, health and safety records and management records.
Updated
10 January 2018
The inspection took place on 10 and 13 November 2017 and was unannounced on the first day. This was the first inspection of a new service that was registered by CQC in August 2016.
Westhaven 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.
Westhaven is registered to accommodate up to 52 people in a purpose-built three-storey property. The home is set in its own grounds in a residential area of Hoylake. There were bedrooms and communal rooms on the ground, first and second floors, with staff and service areas on the ground floor.
The home is required to have a registered manager. 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 home's registered manager was a registered nurse with considerable previous experience of managing care homes.
There were enough qualified and experienced staff to meet people's needs and keep them safe. The required checks had been carried out when new staff were recruited and all staff had received induction training before they commenced employment.
We observed that all parts of the home were clean and well maintained and records we looked at showed that regular health and safety checks were carried out. All areas were furnished and decorated to a high standard.
Medicines were managed safely and records confirmed that people always received the medication prescribed by their doctor.
People’s capacity to make decisions was assessed and, where appropriate, applications had been made to the local authority for Deprivation of Liberty Safeguards.
People were mostly happy with their meals and told us that choices were always available.
The members of staff we spoke with had good knowledge of the support needs of the people who lived at the home. The staff we met had a cheerful and caring manner and they treated people with respect. People who lived at the home and visitors who we spoke with expressed their satisfaction with the care provided and with the staff.
The care plans we looked at gave information about people's care needs and how their needs were met. They also gave information about people's individual choices and preferences.
There was a friendly, open and inclusive culture in the home and many of the people we met during our visits spoke highly of the home manager. Regular quality audits were completed and a satisfaction survey had been carried out.