CQC report explained · a nursing home
What the CQC found at OSJCT Westgate House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines practice. They also found that infection control arrangements were followed and the home was clean.
- Effective?
- Outstanding
- The home worked very well with health and social care professionals. Inspectors highlighted dementia care, reduced use of antipsychotic medicines, oral health support, staff training, nutrition and an environment adapted to people's needs.
- Caring?
- Good
- People and relatives described staff as caring. Inspectors observed respectful and kind interactions, and found that people were supported to make choices and remain as independent as possible.
- Responsive?
- Good
- Care plans reflected people's individual needs, preferences and routines and were updated as needs changed. People had access to activities, and complaints were recorded, investigated and resolved.
- Well-led?
- Good
- Inspectors found an open culture, clear management arrangements and effective quality checks. People, relatives and staff could give feedback, and the home worked with outside professionals.
What inspectors found, November 2019
OSJCT Westgate House was rated Good overall, with Outstanding effective care and no major problems identified.
Inspectors visited on 22 and 23 October 2019. The first day was unannounced. They spoke with people living in the home, relatives, staff and health and social care professionals. They reviewed care records, medicines records, recruitment files and management records.
The home was rated Good for safe, caring, responsive and well-led care. Inspectors found enough staff, safe medicines practice, clean surroundings and suitable systems for managing risks. People were treated with kindness, involved in their care and offered personalised support and activities.
Effective care was rated Outstanding. Inspectors found excellent work with health professionals, strong dementia care, good oral health support and an environment designed around people's needs. The overall rating stayed Good, which was the same as at the previous inspection published in April 2017.
Strong healthcare support
The home worked closely with health and social care professionals. This helped people receive timely support and contributed to a reduction in the use of antipsychotic medicines.
“Links with health and social care services were excellent and resulted in people receiving support in a timely manner.” from the report
Excellent dementia care
Staff used training, research and non-medical approaches to understand and respond to behaviour that might challenge. Inspectors found that people living with dementia benefited from this approach.
“Westgate House's team were highly skilled in using non-pharmacological methods of managing people's behaviours” from the report
Good oral health support
The home arranged dental check-ups, treatment and reviews, and trained staff to support people's oral hygiene needs.
“They had gone above and beyond to secure provision of oral care for people.” from the report
Environment suited to people's needs
The home had improved lighting, reduced noise and created themed areas for activities, reminiscence and socialising. It also provided a private dining area for people and families.
“These areas gave people living with dementia a purpose to move with the aim of reaching their chosen destinations.” from the report
Kind and respectful care
People said staff listened to them and treated them respectfully. Inspectors saw staff supporting people's dignity, choices and independence.
“People were supported to be as independent as possible.” from the report
Activities and involvement
People could choose from individual and group activities, and the activities coordinator worked to include people living with dementia.
“People had access to a variety of activities which included individual and group activities such as flower arranging, seated exercises and cinema evenings.” from the report
Inspectors raised no specific concerns in this report.
- 01How are people supported to reduce or avoid antipsychotic medicines, and how are changes in behaviour monitored?
- 02How often are dental check-ups and oral health reviews arranged for residents?
- 03Which activities and themed areas are currently available for people living with dementia?
- 04How do you make sure staffing levels remain sufficient when there are unplanned absences?
- 05How are care plans updated when a person's needs, preferences or routines change?
This was a planned inspection covering all five CQC questions, including both the premises and the care provided; it was unannounced on the first day and completed on the second day. This explanation was written from the published report of 27 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2017
Rated Good overall and in all five areas; inspectors found safe, kind and personalised care.
Inspectors visited on 21 February 2017 without telling the home in advance. They spoke with people living there, relatives, staff and health and social care professionals. They also observed care, checked records and medicines, and looked around the home.
They found that people felt safe and that there were enough trained staff. Medicines were stored and given safely. Staff understood safeguarding, dementia care, mental capacity and people's individual risks.
The home provided kind and respectful care. People had personalised care plans, suitable activities and support with food and drink. Inspectors also found open management and effective checks to monitor quality and safety.
The home was rated Good overall. Safe, Effective, Caring, Responsive and Well-led were all rated Good.
Safe staffing
Inspectors found enough suitably qualified and experienced staff to meet people's needs. Staffing levels were adjusted according to people's dependency and needs.
“People were supported by sufficient numbers of staff to meet their individual needs.” from the report
Dementia support
Staff had dementia training and understood people's different ways of communicating. The home was designed to help people living with dementia move around and remain independent.
“Staff showed great skills whilst communicating and working with people living with dementia.” from the report
Kind and respectful care
Staff knew people's preferences and life histories. Inspectors saw warm interactions and found that people were treated with dignity and supported to make choices.
“People were treated with dignity and respect by staff and they were supported in a caring way.” from the report
Personalised activities
Activities were linked to people's interests and included one-to-one and group options. People who preferred to stay in their rooms were also supported there.
“Staff understood the importance of involving people in appropriate activities which were stimulating and helped people to feel involved.” from the report
Open management
The management team was described as approachable and supportive. The home used audits, meetings and feedback to monitor care and make improvements.
“The provider had effective quality assurance systems in place to assess and monitor the quality of service provision.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are on duty for each unit today, and how do you adjust staffing when people's needs change?
- 02What dementia training have staff completed recently, and how is this used in day-to-day care?
- 03How are my relative's care plan, risks and food and drink needs reviewed when their health changes?
- 04What activities are available for someone with my relative's interests, mobility and communication needs?
- 05How are families involved in decisions about end of life care and changes to care?
This was an unannounced inspection covering all five question areas and the overall quality and safety of the home. This explanation was written from the published report of 13 April 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of OSJCT Westgate House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 16 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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