Westvilla Nursing Home

Updated 15 July 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This Inspection was carried out by two inspectors.

Service and service type

Westvilla Nursing Home 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with five people who used the service. We spoke with five members of staff including, the care co-ordinator, nursing staff, carers and kitchen staff. Some people were not able to fully share with us their experiences using the service. Therefore, we spent time observing interactions between people and the staff supporting them.

We reviewed a range of records. This included multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits were reviewed.

After our inspection site visit, we contacted two relatives to ask about their experience of the service. We contacted three staff to ask them about how they cared for people and their experience of working at West Villa Nursing Home. We reviewed further records this included four people's care records, staff training information, staff rotas and policies.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 15 July 2021

About the service

Westvilla Nursing Home is a care home providing personal and nursing care for 24 people, at the time of the inspection. The service can support up to 34 people in one adapted building across two floors.

People’s experience of using this service and what we found

Management of medicines was inconsistent. We found people received their prescribed medicines on time, however documentation for medicines that were only given as required were unclear. Further work was needed to ensure staff had consistently clear instructions in order to give people their medicines safely. We have made a recommendation about the management of some medicines.

We were mostly assured the provider was following government guidance in relation to protecting people from COVID-19. The registered manager had developed an infection control action plan following a recent audit to address issues found. Storage issues which had been found prior to our inspection which made cleaning some areas of the service difficult had been addressed and action was being taken.

People told us they felt safe and well cared for by staff. Staff received training in safeguarding and were aware of who to report concerns to both internally and externally. Staffing levels were sufficient to meet the needs of the people who used the service on the day of the inspection. Staff received training to ensure they could work effectively in their roles.

People made choices about how they wanted to be supported and relatives had been involved in care planning meetings. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice. Where people lacked capacity, they were helped to make decisions. Where their liberty was restricted, this had been identified and action taken to ensure this was lawful. They received support and had access to health care services.

People, staff and relatives, felt supported by the management team. Systems and process were in place to carry out quality checks and any issues were addressed appropriately. Staff supervisions and meetings were held regularly. The service engaged and worked with health and social care professionals to ensure people received suitable care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 22 October 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 13 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. 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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westvilla Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.