Background to this inspection
Updated
31 December 2019
The inspection
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.
Inspection team
The inspection took place on 9 and 10 September 2019 and was unannounced on the first day and announced on the second day. The inspection was conducted by one inspector and one assistant inspector on the first day and one inspector on the second day.
Service and service type
Westfield Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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.
What we did before the inspection
Prior to our inspection we reviewed all the information we held about the service. This included information from notifications received from the registered provider, feedback from the local authority safeguarding team and commissioners. We reviewed all the information we had been provided with from third parties to fully inform our approach to inspecting this service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
Some people who used the service used non-verbal communication methods. As we were not familiar with their way of communicating we used different methods to help us understand people’s experiences. We spent time in the lounge areas and dining rooms observing the care and support people received. We spoke with three people who used the service and four of their relatives. We spent time looking at two people’s care plans and other records. We looked at two records relating to staff recruitment, supervision and training, and various documents relating to the service's quality assurance systems. We spoke with the registered manager and the clinical support manager, one nurse, one senior support worker, one laundry/lunchtime supervisor, the cook and two visiting community professionals.
After the inspection
Following our inspection, we received written feedback from a fifth person’s relative.
Updated
31 December 2019
About the service
Westfield Manor provides accommodation and nursing care to a maximum of 25 people living with
dementia and/or mental health needs. The home is in quiet location close to the church in the Idle
area of Bradford. The accommodation offers 21 single rooms and two double rooms and there are two small communal lounges and a dining room where people are able to spend time. At the time of this inspection 23 people were using the service.
People's experience of using this service
Everyone we spoke with told us the service was exceptionally well led. Relatives praised the service and the impact it was having on people. We saw many examples of the positive impact the leadership and compassionate ethos at the home had on people’s wellbeing. The service had a welcoming, homely feel which met people’s individual sensory needs.
People told us they felt safe at Westfield Manor. Staff were aware of their responsibilities if they were concerned a person was at risk of harm. Care files contained detailed individual risk assessments to reduce risks to people’s safety and welfare.
An effective system was in place to ensure medicines were managed in a safe way. Sufficient staff were deployed to meet people’s assessed needs and staff recruitment was safe. Staff had undertaken training relevant to their roles and there were clear lines of communication and accountability within the home.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Mental capacity assessments and best interest decisions were completed when decisions needed to be made.
Most people told us they enjoyed their meals and we saw people received support with meals and drinks when required. There was clear and consistent working with other professionals who supported people.
People and their relatives told us staff were very caring and supported them in a way that considered their dignity, privacy and diverse needs. Care plans were detailed and based on robust assessments of need. People were supported with activities and interests to support them to lead fulfilling lives.
Detailed information documented people’s advanced care plans if people wanted to record their future wishes.
People told us they knew what to do if they had any concerns or complaints about the service and the management team were very accessible. People who used the service, staff and relatives were asked for their views about the service and these were acted on.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection:
At the previous inspection (published 1 March 2017) the service was rated good.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor the service and re-inspect in line with the current rating. If we receive any concerning information we may inspect sooner.