Archived: Westmoor View Care Home

Updated 17 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 comprehensive inspection of Westmoor View Care home took place on 14 September and 3 October 2017. The first day of the inspection was unannounced which meant the provider and staff did not know we would be visiting. We informed the registered manager of our visit on 3 October 2017.

The inspection was carried out by one 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 reviewed all the information we held about the service, which included notifications submitted to CQC by the provider. We emailed the local authority commissioning team and the safeguarding team at the local authority to gain their views.

The provider had 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 used this information to help plan for the inspection.

During the inspection we reviewed a range of records. This included four people’s care records including care planning documentation and medicines records. We also looked at two staff recruitment files, supervision, appraisal and training records, records relating to the management of the service and a wide variety of policies and procedures.

We spoke with the registered manager, a senior nurse, a college student on placement, a domestic and two care staff. We spoke with 13 people who used the service and four relatives. We spent time observing staff interactions with people throughout the inspection.

Updated 17 November 2017

We inspected Westmoor View Care Home on 14 September and 3 October 2017. The first day of the inspection was unannounced which meant the provider and staff did not know we would be visiting. We informed the registered manager of our visit on 3 October 2017.

Westmoor View provides nursing care and accommodation to a maximum of 36 people. The service supports people who have a learning disability, older people and people with a physical disability. At the time of the inspection there were 28 people who used the service. Westmoor View Care Home is an established service, which had been previously registered under a different provider. This is the first inspection of the service under the new provider. At this inspection we rated the service as good.

The service had 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff understood the procedure they needed to follow if they suspected abuse might be taking place. Risks to people were identified and plans were put in place to help manage the risk and minimise them occurring. Medicines were managed safely with an effective system in place. Staff competencies, around administering medicines, were regularly checked. Appropriate checks of the building and maintenance systems were undertaken to ensure health and safety was maintained.

There were enough staff on duty to meet the needs of people. We found that safe recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work.

People were supported by a regular team of staff who were knowledgeable about people’s likes, dislikes and preferences. A training plan was in place and all staff had completed up to date training. 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. However, further work was needed to ensure decision specific mental capacity assessments and best interest decisions were in place when people lacked capacity.

People were able to choose meals of their choice and staff supported people to maintain their health and attend routine health care appointments.

Care plans detailed people’s needs and preferences. Generally care plans were reviewed on a regular basis to ensure they contained up to date information that was meeting people’s care needs. People were actively involved in care planning and decision making.

We received mixed feedback from people and relatives about activities and the frequency of these. We pointed this out to the registered manager who told us they would review activities. After the inspection the registered manager contacted us and told us the activity hours had been spread across the week giving people more opportunity to take part.

Staff told us they enjoyed working at the service and felt supported by the registered manager. Quality assurance processes were in place and regularly carried out by the registered manager and registered provider, to monitor and improve the quality of the service. The service worked with various health and social care agencies and sought professional advice to ensure individual needs were being met. Feedback was sought from people who used the service through regular meetings. This information was analysed and action plans produced when needed.