26 January 2022
During an inspection looking at part of the service
About the service
Weston Villa is a residential care home providing personal care to eight people in two separate buildings at the time of the inspection. The service can support up to eight people.
People’s experience of using this service and what we found
Right support
• Improvements were required to ensure people could develop, flourish and pursue their interests.
• Improvements in medicines management were needed so people could be supported with their medicines safely and in the way they preferred.
• Staff enabled people to access specialist health and social care support but not always in a timely manner.
• A programme of re-decoration was underway to improve the cleanliness and homeliness of the service.
Right care
• Staff understood how to protect people from poor care and abuse. Refresher training and competency checks in some areas were being undertaken to ensure staff were up to date with the skills and knowledge required to provide optimal care and support.
• Staff and people assessed the risks people might face. Improvements were required to ensure people always received safe care and treatment. Where appropriate, staff encouraged and enabled people to take positive risks.
• Aspects of infection prevention and control required strengthening to ensure people always received the right care to keep them safe.
• The staff team worked together to ensure people received kind and compassionate care. Turnover in the staff team meant some staff did not yet know people well.
Right culture
• People and those important to them, including relatives and social care professionals, were involved in planning their care but communication was not always effective.
• The previous manager had not always promoted an open and person-centred culture for people living in the service. The staff team were keen to re-establish good practice for the benefit of people and those important to them.
• The interim manager was working hard to stabilise the service and staff team, and implement improvements following an action plan.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The rating at the last inspection was good (published 2 June 2021).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of ‘Right support right care right culture’.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We found some concerns about infection prevention and control practice so broadened the inspection to look at the key questions Safe and Well-Led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to the governance arrangements in the service, and people receiving safe care and treatment.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.