CQC report explained · a residential care home
What the CQC found at West View Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed, staffing was based on people's needs, medicines were managed safely and the home was clean.
- Effective?
- Good
- Staff had suitable training and support. People had access to healthcare, were supported with eating and drinking, and received care based on their needs and choices.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew people well and involved them in decisions about their care.
- Responsive?
- Good
- Care plans reflected people's needs and preferences. People could take part in activities, maintain relationships and raise complaints.
- Well-led?
- Good
- The home had supportive management, regular checks on quality and ways for people, relatives and staff to contribute to improvements.
What inspectors found, April 2020
Rated Good; inspectors found safe, kind and personalised care, with improvements to the fire safety action plan still under way.
This was an unannounced inspection on 28 February 2020. One inspector spoke with a person living at the home, four relatives, six staff and a visiting healthcare professional. They also reviewed care records, medicine records, staff files and management records.
The inspector found that people were safe and that there were enough staff. Medicines were managed safely. People received kind, respectful and personalised care, with support for their health, meals, activities and communication needs.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in July 2017.
Enough staff
Staffing was adjusted when people's needs changed, including when someone was unwell or needed extra support.
“There were enough staff to meet people's needs.” from the report
Safe medicines
Medicine records were accurate and up to date. Medicines were reviewed, stored securely and given by staff whose competence was checked.
“Systems and processes were well organised.” from the report
Personalised care
Care was planned around people's histories, preferences, communication needs and choices. Staff were said to know people well.
“People received personalised care which was responsive to their needs.” from the report
Activities and relationships
People could take part in a range of activities and were supported to visit local places and keep in touch with relatives and friends.
“There were a range of activities available and people told us they were occupied and enjoyed activities inside and outside the home.” from the report
Good management
Managers used audits, meetings and feedback to monitor quality and make changes. Staff and people were involved in service development.
“Quality monitoring was effective to manage risk, and identify areas for improvement.” from the report
Fire safety actions ongoing
minorA fire risk assessment had been completed, but the action plan from it was still being put into practice at the time of the inspection.
“A fire risk assessment had been carried out and the registered manager told us they were in the process of implementing the action plan developed form this.” from the report
- 01What actions from the fire risk assessment remained outstanding, and have they now been completed?
- 02How do you adjust staffing when people's needs change or they need extra support?
- 03How are each person's medicines reviewed, and how do you check staff remain competent to administer them?
- 04How will you involve me and my relative in reviewing the care plan and recording their preferences?
- 05What activities and support to maintain relationships would be available for my relative?
This was an unannounced inspection covering all five CQC questions, including both the care provided and the home's premises. This explanation was written from the published report of 8 April 2020 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, July 2017
Rated Good; inspectors found kind, personalised care and improvements since the previous inspection, with a small recruitment records issue.
This was an unannounced inspection on 21 June 2017. Two inspectors spoke with people living at the home, relatives, staff and managers. They also observed care and checked care records, medicines, staff files, safety records and quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received their medicines safely, and had care based on their individual needs and preferences.
The home had improved since the previous inspection. The earlier unsafe arrangements for storing and managing medicines had been addressed. Safety work and refurbishment were also under way.
Inspectors found one staff recruitment file without references, although the provider arranged for this to be corrected. They also found a short period when temperature equipment for the medicines storage room was not working, and a new thermometer was quickly obtained.
Safer medicines
The home had corrected the unsafe medicines arrangements found at the previous inspection. Staff used secure storage, clear records and checks to support safe administration.
“During this inspection, we found that the necessary improvements had been made in order to reduce the risk of people not receiving their prescribed medicines.” from the report
Kind and respectful care
Inspectors saw staff explain care, seek consent and protect people's dignity and privacy.
“Staff treated people with compassion, kindness, dignity and respect.” from the report
Personalised support
Care plans included people's routines, likes, dislikes and support needs. Staff knew this information and used it in their care.
“People received care that was based on their preferences and requirements.” from the report
Activities and family contact
People had access to activities inside and outside the home. Friends and relatives could visit without undue restriction.
“The provider had arranged a variety of activities and people were protected from social isolation.” from the report
Quality monitoring
The provider used audits, meetings and feedback to identify improvements. Inspectors also saw that refurbishment work had started.
“The provider had effective systems for monitoring the quality of the service.” from the report
One recruitment file was incomplete
needs fixingOne person who had worked at the home for three years had a DBS check but no references on file. The provider arranged for this to be corrected.
“We did look at the recruitment records of a person who had been in post for three years and found that although there was a DBS check in place, references had not been obtained.” from the report
Medicines room temperature records
needs fixingTemperature recording equipment for the medicines storage room stopped working when a new medicines fridge was introduced. A digital thermometer was bought quickly, but families should check that ongoing records are complete.
“However, when a new medicines fridge was introduced, the temperature reading equipment ceased to work.” from the report
- 01Has the missing reference in the recruitment file been obtained and checked?
- 02Are medicines storage room temperatures now checked and recorded every day?
- 03Who is currently responsible for the home while the registered manager is on extended leave?
- 04What refurbishment work has been completed since this inspection, and what remains?
- 05How are residents and relatives involved in decisions about activities and changes to the home?
This was an unannounced inspection covering all five areas of the service, with observations, interviews and checks of care, medicines, staff and management records. This explanation was written from the published report of 11 July 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 West View Care Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- April 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 2 April 2011.
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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