CQC report explained · a residential care home
What the CQC found at Westbridge House Rehabilitation Unit
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, staffing levels were suitable and recruitment checks were completed. Medicines were managed safely, although some instructions for medicines taken when needed could be more detailed.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff had suitable training and support. People were helped to access health professionals, eat and drink well, and make decisions in line with the law.
- Caring?
- Good
- Staff were kind, patient and respectful. People were supported to make everyday choices, maintain independence and use advocates when needed.
- Responsive?
- Good
- Care plans reflected people's needs, strengths and preferences. People were supported to pursue interests, maintain relationships, communicate in suitable ways and raise complaints.
- Well-led?
- Good
- Inspectors found a positive and open culture, supportive management and good teamwork. Regular checks, meetings and action plans were used to monitor quality and make improvements.
What inspectors found, October 2019
Westbridge House Rehabilitation Unit is rated Good; inspectors found safe, kind and personalised care, with only minor detail needed in some medicines instructions.
This was an unannounced inspection on 02 September 2019. One inspector spoke with people living in the home, relatives, staff and a visiting health professional. They also reviewed care, medicines, recruitment, training and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably recruited staff, safe medicines systems, appropriate risk management and staff who were trained and supported.
People were described as happy and well supported. Staff were kind, respectful and focused on independence, choice and wellbeing. The home had a calm atmosphere, responded to complaints and used quality checks to make improvements. This was the same overall rating as the previous inspection, published on 08 February 2017.
Safe staffing and risk management
The home had enough staff, completed recruitment checks and reviewed risks regularly. Staff understood people's routines and acted to reduce avoidable harm.
“There were enough staff available to meet people's needs.” from the report
Kind and respectful staff
Staff knew people well and supported them with dignity, choice and independence. Inspectors saw positive relationships between staff and people.
“People's needs were met by caring, patient and considerate staff.” from the report
Personalised support
Care plans included people's needs, preferences, strengths and goals. People were supported to socialise, follow interests and avoid isolation.
“People were encouraged in developing their own care plans.” from the report
Supportive leadership
Inspectors found committed staff, regular supervision and good teamwork. Quality checks and action plans were used to maintain and improve the service.
“Governance systems drove improvements in the quality of the service.” from the report
Some medicines instructions lacked detail
minorInstructions for medicines prescribed to be taken only when needed were in place, but inspectors said they would benefit from more detail.
“Medication that was prescribed on an 'as required' basis had protocols in place, although these would benefit further detail to be added.” from the report
- 01What extra detail has been added to the instructions for medicines taken only when needed?
- 02How would you support my relative to self-medicate, and what checks would be made?
- 03How would you review and manage risks while still supporting my relative's independence?
- 04How would my relative be involved in creating and reviewing their care plan?
- 05How would you support my relative's mental health, interests, relationships and access to health professionals?
This was an unannounced planned inspection that looked at the overall service, including the premises and care, and assessed all five CQC questions. This explanation was written from the published report of 19 October 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, February 2017
Westbridge House Rehabilitation Unit was rated Good; inspectors found safe, kind and responsive care, with some refresher training still needed.
This was an unannounced inspection on 12 January 2017. Inspectors observed care, spoke with people living in the home, staff, a healthcare professional and a relative. They also checked care plans, medicines records, staff files, training 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 people were protected from abuse, received their medicines safely and were supported by suitable numbers of trained staff.
Inspectors found that staff knew people well, treated them with dignity and supported their independence. The home provided a wide range of activities, including trips, hobbies, work and education. People and staff were involved in decisions about how the home was run.
Some staff needed refresher training so their knowledge stayed up to date. The manager said this training had been planned. The previous inspection in July 2014 had also rated the service Good and found it compliant with the regulations assessed at that time.
Wide choice of activities
The home offered many activities and encouraged people to take part in meaningful work, hobbies, education and community activities.
“People were provided with an outstanding range of activities and were encouraged to undertake meaningful occupations.” from the report
Kind and respectful staff
Inspectors found staff had built trusting relationships with people and supported them in a calm and respectful way.
“Throughout the inspection it was clear that staff had developed nurturing and supporting relationships with the people who used the service.” from the report
Support for independence
People were involved in setting their own goals and were encouraged to make everyday choices and develop practical skills.
“People were encouraged to be independent and make decisions in their daily lives.” from the report
Good involvement and oversight
People were consulted about activities, menus, decoration and staff recruitment. The home used audits, meetings and feedback to monitor its work.
“People who used the service confirmed they were consulted when changes needed to be made at that their opinions were listened to and valued.” from the report
Some refresher training was outstanding
needs fixingInspectors found that some staff needed refresher training to keep their knowledge up to date. The manager said the required courses had been planned, but the report does not confirm that they had yet been completed.
“Records showed some staff needed to complete refresher training to ensure their knowledge was up to date and reflected best practice guidance.” from the report
- 01Which staff needed refresher training, what subjects did it cover, and has all of it now been completed?
- 02How are people's individual goals and preferences used to plan activities and support independence?
- 03How are staffing levels changed when people need more support or when activities and events take place?
- 04How are medicines checked, including medicines for people who self-medicate?
- 05How can a person or relative raise a concern, and how will the home investigate and respond to it?
This was an unannounced comprehensive inspection of the overall service, covering all five CQC questions and giving ratings for each one. This explanation was written from the published report of 10 February 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 Westbridge House Rehabilitation Unit
3 rated inspections over 5 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Westbridge House Rehabilitation Unit →
- February 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Westbridge House Rehabilitation Unit →
- January 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 19 September 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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32 live-in carers within about an hour of North Lincolnshire
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 £980 to £1,300 a week. 29 can care for a couple. 11 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
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.