11 October 2023
During a routine inspection
Westley Court Care Home is a residential care home providing personal and nursing care to up to 33 people. At the time of our inspection there were 25 people using the service. The service provides support to people under and over 65 with varying needs, including some people living with dementia. The care home provides support to people over 2 floors, both of which have adapted facilities.
People’s experience of using this service and what we found
Risks to people’s health and well-being were not always managed safely and guidance and advice from professionals was not always followed. Risks identified during the inspection were discussed with the manager who addressed them immediately. Medicines were not always managed in a safe way. People and their relatives had mixed views on staffing levels. At the time of inspection the provider was recruiting to a number of vacancies.
People told us staff were kind and caring and people told us they felt safe. Staff respected people’s privacy.
Further improvements could be made to the environment to support people living with dementia. Some areas of the home were tired and in need of refurbishment. The manager advised a programme of refurbishment was planned to start in December 2023. Staff had received training relevant to people’s needs.
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.
People and their relatives told us they were happy with the care provided and spoke positively about staff.
Care records were detailed but sometimes contained conflicting and out of date information. Activities were limited due to vacancies in this area. However, we saw a group activity taking place and evidence of some one to one engagement for people who spent time in their rooms.
Management changes had recently occurred, the manager and regional manager had only been in post a few weeks at the time of our inspection. There were a variety of audits in place to provide the manager with oversight of the service, however these were not fully embedded and had not been consistently undertaken prior to the new manager starting. Audits which had been completed had not identified some of the shortfalls found at inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 March 2019).
Why we inspected
The inspection was prompted in part due to concerns received about people's nursing care needs,
medicines management, and staffing. A decision was made for us to inspect and examine those risks.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
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 have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Westley Court Care Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to the safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.