CQC report explained · a residential care home
What the CQC found at Westbourne Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People had individual risk plans, enough staff and safely managed medicines. The new electronic medicines system had some early teething problems, and full auditing was due to be reintroduced.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff had relevant training, people received support with food and healthcare, and mental capacity requirements were considered.
- Caring?
- Good
- Inspectors saw kind and respectful interactions. Staff supported people's privacy, dignity, independence and contact with relatives.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People had activities, individual support when they did not join groups, complaint arrangements and end-of-life care.
- Well-led?
- Good
- The provider had quality checks, meetings and action plans. The home was managing a planned change from nursing care to care home provision and did not have a registered manager at the time.
What inspectors found, February 2019
Westbourne Care Home was rated Good; inspectors found kind, safe care, but nursing care was being phased out.
Inspectors visited on 23 and 25 January 2019 without announcing the visits. They spoke with people living there, relatives, managers and staff. They reviewed care records, staff recruitment records, management records and the building.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people protected from abuse, supported by enough staff and given safely managed medicines. The home was clean and well maintained.
People received personalised care from kind staff. They were supported with food, healthcare, activities, family contact and end-of-life care. The home had systems for handling complaints and checking the quality of care.
The rating remained Good, as it had been at the previous inspection in April 2016. At this inspection, the provider was following a plan to stop providing nursing care and change from a nursing home to a care home.
Staffing and safeguarding
Staff understood how to report abuse and whistleblowing concerns. Inspectors found enough staff and saw prompt responses to requests for help.
“During our inspection we found staff responded promptly to people's requests for assistance.” from the report
Kind and respectful care
People described staff as kind and considerate. Inspectors saw staff checking people's comfort, responding to requests and protecting privacy.
“People had developed positive relationships with the staff that supported them.” from the report
Personalised support
Care plans included people's needs, preferences and life histories. They were regularly reviewed and staff provided individual support.
“People received care and support that was personalised and responsive to their needs.” from the report
Activities and family contact
People could choose from varied activities and were supported to keep in touch with relatives. People who did not join groups received individual interaction.
“People took part in a range of appropriate activities.” from the report
Quality monitoring
The provider carried out regular checks on care plans, medicines, infection control, staff supervision and night-time care. Action plans were used to track improvements.
“There were effective systems in place to monitor the quality of services and care provided to people.” from the report
Nursing care was ending
needs fixingThe provider was following a plan to stop providing nursing care and change the home into a care home. People who may be affected were due to be assessed after the inspection.
“The service was following a plan to end the provision of nursing care and the service was changing from a nursing home to a care home.” from the report
No registered manager
minorThere was no registered manager in post during the inspection. The current manager planned to apply for registration.
“At the time of our inspection visit Westbourne Nursing Home did not have a registered manager in post.” from the report
Medicines auditing
needs fixingThe new electronic medicines system was reported to be successful apart from some early problems. Full medicines auditing was due to be reintroduced.
“The provider was planning to re-introduce full auditing of medicines following the recent introduction of the system.” from the report
- 01When will nursing care end, and what support will be available for residents who need nursing or clinical care?
- 02How will you assess my relative's needs before and after the change from nursing home to care home?
- 03Has the manager now applied to become registered with the CQC?
- 04Has full auditing of medicines been restored, and what lessons were learned from the electronic system's early teething problems?
- 05How will you make sure staffing levels and staff skills remain suitable during the planned change?
This was an unannounced inspection covering all five CQC questions, the premises, care records, staff recruitment and management systems; the report says the overall Good rating remained unchanged from April 2016. This explanation was written from the published report of 28 February 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.
Every inspection of Westbourne Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 14 February 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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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.