What the CQC found at West Villa Residential Home

Risks were reviewed and care plans explained how people should be kept safe. Accidents and incidents were monitored more clearly, and staff shared important risks at handovers.

“Individual risk assessments had been reviewed and details of how to ensure people's safety was recorded in individual care plans.” from the report

Staff listened to people, supported their choices and treated them with dignity. They were patient when people needed extra help.

“Staff spent time involving people in decisions about their care and support and they actively listened to what people were saying.” from the report

Care plans had been rewritten with information from people, staff and relatives. They recorded preferences and advanced wishes for end of life care.

“New care plans had been developed for each person since the last inspection and they were clear and person-centred.” from the report

There was a clearer management structure, more consistent handovers and better support for staff. Relatives and staff reported that the home had improved.

“A clearly defined management structure had been put in place since the last inspection and there had been a clear focus on addressing the regulatory breaches and improving care.” from the report

Some corridors and bedrooms smelled unpleasant. Inspectors also found stained soft furnishings and food debris, and recommended that cleaning procedures be reviewed.

“Cleaning regimes were in place, but there were some parts of the home which had unpleasant odours, such as the main corridor and some people's bedrooms.” from the report

The provider had improved the service but could not yet show that the changes would be sustained. Some minor issues had not been found by the home’s own audits.

“The service was showing clear and significant signs of improving, although at the time of the inspection the provider was not able to demonstrate how improvements would be sustained.” from the report

There were minor gaps in medicines records, medicine storage temperature records and moving and handling competency records. One staff member’s reference checks were incomplete before they started work.

“There were some minor gaps in recording, such as with topical medicines and with room temperatures where medicine was stored.” from the report

Activities were organised, but some people were supported more than others. One person said they wanted to go out more and did not have the chance.

“The provider agreed to consider how people's individual recreation needs were met to be sure this was done fairly.” from the report