• Care Home
  • Care home

Westbury Lodge

Overall: Good read more about inspection ratings

130 Station Road, Westbury, Wiltshire, BA13 4HT (01373) 859999

Provided and run by:
Parkcare Homes (No.2) Limited

Important: The provider of this service changed. See old profile

Report from 7 June 2024 assessment

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Safe

Good

Updated 13 November 2024

We reviewed 4 of the quality statements in this key question.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Learning culture

Score: 2

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

Safe systems, pathways and transitions

Score: 2

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

Safeguarding

Score: 2

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

Involving people to manage risks

Score: 2

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

Safe environments

Score: 3

Relatives we spoke with told us they felt the environment was safe.

The manager told us they completed audits to check safety of the premises. They also walked around the building regularly to check the environment was safe.

We observed staff moving items such as chairs for people when they could not manage this themselves. The environment was tidy and furnishings were in good condition.

There were systems to ensure the environment was safe. This included practice fire evacuations and environmental risk assessments.

Safe and effective staffing

Score: 3

One relative we spoke with said there were enough staff and that they were kept well informed. They told us “It’s a good team, they all seem to enjoy working together and the interaction with the clients is very good.” One relative said that staff were good but the agency staff used were “always on their phone”. People we spoke with told us there were enough staff and that they enjoyed living at the service. One person told us they enjoyed “being taken out to places”.

The manager and staff told us that there were enough staff each day. One staff member told us that if a person had a medical appointment then staffing would be adjusted to ensure that a key staff member supported that person. We were told that if there were staffing shortages then activities happened within the home rather than in the community. One staff member told us that people accessing the community relied on there being a driver available in order for the person to have use of the vehicle, this was not always available. Staff told us they had received training in safeguarding. The manager told us that staff received supervision monthly and annual appraisals to enable staff to be supported. However, some staff told us that they did not receive supervisions regularly, one staff member said they had “never received a formal supervision”. Staff were not clear on how often an appraisal should happen. Staff told us that they did not receive a copy of their supervision.

During our visit we saw that there were enough staff to meet people’s needs. We observed staff greeting and supporting people positively, engaging in activities with people and supporting people when they needed it. We saw there were enough staff.

Staff received an induction when they started. They were provided with training and competency assessments were undertaken where needed. Staff had safeguarding training and had access to safeguarding and whistleblowing policies and guidance. There was a contingency plan in place to ensure support was available in the event of emergencies. Staff underwent pre-employment checks as part of the recruitment process.

Infection prevention and control

Score: 3

Relatives we spoke with told us that the environment was very clean and tidy.

Staff did not raise any concerns relating to access to personal protective equipment.

We observed the environment was now clean and tidy. We found one toilet which had no hand towels available. There was personal protective equipment such as gloves available in other areas.

There were systems and policies to ensure infection prevention and control. Electronic cleaning records evidenced when tasks had been completed.

Medicines optimisation

Score: 3

People we spoke with told us staff gave them their medicine. Relatives we spoke with said they did not have any concerns regarding the people’s medicines. For example, one relative said ‘I trust them [staff] with [person’s] medication.”

Staff told us they received training for administering people’s medicines. The manager explained that staff competencies were checked annually to ensure they were administering medication safely and appropriately. One staff member was not clear on what ‘as required’ (PRN) medication was.

The provider had systems and policies enable them to record and monitor people’s medicines this included details of where to apply creams on people’s bodies. The medication administration records were now completed fully. However, there were no risk assessments in place related to the fire risk for people using emollients. This shortfall was highlighted to managers at the time of the assessment and a plan made to complete a risk assessment. We saw PRN medication was not always clear on people’s records. People had individual records in place which contained accessible guidance including allergy information and pictorial identification for the person. People had care records relating to their medicine. During our visit we saw staff supporting people with their medication safely. People were not involved in managing their own medicine. People told us they did not want to do this themselves. At the time of our assessment people’s medicines were stored in a designated medication room. However, medication cabinets had been ordered with a plan to store them in people’s bedrooms in the near future.