23 May 2023
During a routine inspection
Westholme Care Home Limited is a residential care home providing personal care to up to 26 people. The home consists of 3 large houses converted to 1 large home over 3 floors. The kitchen and laundry facilities are on the ground floor. There are several communal rooms including lounges, conservatory, dining room and landscaped gardens. At the time of our inspection there were 19 people living in the home.
People’s experience of using this service and what we found
We have made a recommendation about staff deployment and person centred language. Medicines were stored and administered safely. People were supported safely, and the provider had plans in case of emergencies. Staff were employed following a safe and robust recruitment process Staff had received training to keep people safe and knew what action to take in response to any allegations of abuse. There were no restrictions on family and friends visiting.
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.
Community health and social care professionals had been involved in the care and support of those who lived at the home and people's dietary needs were met.
People told us they received good care. Their preferences and wishes were respected by the staff team. People were treated with dignity and respect and were involved in the decision-making process. We observed some lovely interactions by staff members towards people who lived at the home and staff we spoke with were clearly committed to the people who lived at Westholme Care Home Limited.
People’s needs were assessed, and care plans were developed to promote their lifestyle choices and positive risk taking. The provider had a complaints policy and procedure. People and staff told us they could raise concerns with managers and feel safe and supported. The provider knew how to access support to support people when they required end of life care.
The service was led by a management team who were described as approachable, supportive and caring. The culture at the home was open and inclusive. Staff understood their roles and responsibilities. The provider monitored the quality of the service using a range of systems. The care manager and provider acted upon suggestions or ideas that were made by people, staff and professionals, to ensure the service continued to improve.
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 inadequate (published 23 March 2023). 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.
At our last inspection we recommended the provider manage the risks around building maintenance and gathering people’s end of life preferences. At this inspection we found the provider had made improvements in these areas.
This service has been in Special Measures since 23 March 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
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 the service can respond to COVID-19 and other infection outbreaks effectively.
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
The overall rating for the service has changed from inadequate to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westholme Care Limited on our website at www.cqc.org.uk.
Recommendations
We have made recommendations around the deployment of staff and the use of person centred language. Please see the safe and well-led sections of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.