Background to this inspection
Updated
8 December 2018
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 carried out to check whether the provider was now 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 an updated rating for the service under the Care Act 2014.
This inspection took place on 31 October 2018 and was unannounced. The inspection team consisted of two inspectors.
Prior to the inspection we reviewed the information we held about the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
As part of our inspection we met with four of the five people who lived at the home. We also made telephone contact with two people following the inspection visit. During the inspection, we spoke with four staff, including the manager. We observed interactions between people and staff and also joined people at lunchtime for an informal discussion about life at the service.
We reviewed a variety of documents which included the care plans for two people, three staff files, medicines records and other documentation relevant to the management of the service such as audits, meeting minutes and feedback questionnaires.
Updated
8 December 2018
This inspection took place on 31 October 2018 and was unannounced. Westhaven is a residential care home that provides accommodation and personal care for up to six people with learning disabilities. At the time of our inspection five people were living and receiving support at the 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 care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated Good.
Care was planned and delivered safely. There were sufficient and suitable staff employed to support people in a way that met their needs and preferences. Staff understood their role in safeguarding people and taking steps to reduce the risk of avoidable harm. Medication systems were safe and people received their medicines as prescribed. The service was kept clean and staff maintained good infection control practices.
People maintained a healthy and balanced diet and their healthcare needs were met. Staff were well trained and worked collaboratively with each other and external professionals to deliver effective support. Staff had a good understanding of the Mental Capacity Act 2005 and people received their care in the least restrictive way. The environment included adaptations and equipment which promoted people’s independence and safety.
Staff were kind and caring towards people. Care was provided in a way that promoted independence and protected people’s privacy and dignity.
People receive personalised care that was planned in partnership with them and responsive to their changing needs. Staff sensitively supported people to make choices about their end of life care and recorded advance wishes where appropriate. People had opportunities to engage in activities that were meaningful to them and developed their skills. People and relatives knew how to raise a complaint and were confident their concerns would be addressed by staff or management.
The manager had worked at Westhaven for many years and was in the process of applying for registration following a recent promotion. People, relatives and staff felt the service was well managed and communication across the service was effective. All stakeholders were committed to a shared vision of continuous improvement.
Further information is in the detailed findings below.