CQC report explained · a residential care home
What the CQC found at Westbrooke Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home had suitable infection prevention and control measures, including PPE, testing, cleaning, social distancing and outbreak planning.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, February 2021
Westbrooke Grange was inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19 pandemic.
This was an announced, targeted inspection on 1 February 2021. It looked at how the home prevented and controlled COVID-19 infections, rather than assessing all areas of care.
Inspectors found that PPE was available and used safely. Visitors were restricted to essential visits and were asked to take a rapid COVID-19 test, have their temperature checked, wear PPE and wash their hands. People and staff took part in regular testing.
The home was clean and uncluttered, with frequent cleaning of high-touch surfaces. Inspectors were assured about visiting, social distancing, admissions, PPE, testing, hygiene, outbreak planning and infection control policies. The service was inspected but not rated.
Visitor precautions
Essential visitors were tested, had their temperature checked, wore PPE and washed their hands before visiting.
“Visitors were asked to consent to a rapid COVID-19 test, have their temperature checked, wear PPE, and wash their hands.” from the report
Clean premises
The home was clean and uncluttered. Cleaning schedules included hourly cleaning of frequently touched surfaces.
“The premises were clean, uncluttered and free from malodors.” from the report
Keeping families in contact
People were supported to stay in touch with relatives using mobile phones and video calls.
“People were encouraged and supported to maintain contact with their relatives through use of mobile phones and video calls.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now for visitors?
- 02How are people and staff currently tested for COVID-19 or other infections?
- 03How often are high-touch surfaces and shared equipment cleaned now?
- 04How would the home manage an infection outbreak, and when were its contingency plans last updated?
- 05How will my relative be supported to keep in contact with family if visits are restricted?
This was an announced targeted inspection of infection prevention and control measures during the COVID-19 pandemic; the other key questions were not assessed and the service was not rated. This explanation was written from the published report of 19 February 2021 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, August 2019
Rated Good; inspectors found kind, person-centred care, with some staffing consistency and activity concerns.
This was an unannounced inspection on 17 July 2019. Inspectors spoke with people living in the home, staff, managers and outside professionals. They reviewed care plans, policies, incident records and quality checks.
The home supported four people at the time, in five individual flats with shared areas. Inspectors found people were safe, treated with kindness and supported to make choices and build independence. Staff worked with health and social care professionals, and people's care plans reflected their individual needs.
The overall rating was Good. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 25 July 2017.
Kind and respectful care
People were relaxed with staff and were treated as adults. Staff supported privacy, dignity and independence.
“People were supported by kind and caring staff, who promoted their independence.” from the report
Personalised support
Care plans described people's individual needs, preferences and communication methods. People were involved in decisions about their care.
“People had comprehensive care plans in place which detailed how they wanted their care and support needs to be met.” from the report
Safe, least restrictive support
Restrictive interventions were used as a last resort and staff received relevant training. Incidents and trends were reviewed to help improve practice.
“The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.” from the report
Strong partnership working
The home worked with outside professionals to coordinate people's health and social care. Staff supported transitions between services.
“The management team and staff worked closely with external professionals to ensure people's care was joined up.” from the report
Staffing consistency
needs fixingOne relative said staffing had not always been consistent when this had been promised as part of a planned move. This may be important if your relative needs familiar staff or a predictable routine.
“One relative told us how staffing had not always been consistent when promised as part of a planned moved for their loved one.” from the report
Encouraging social activity
minorA relative felt some staff were better than others at motivating their loved one to take part in social activities and focus on other things.
“However, one relative told us some staff were better than others in motivating their loved one to do things socially and to help focus their mind on other things.” from the report
End of life planning
minorNo one was receiving palliative care during the inspection. The home was still developing its end of life care planning, so this was not yet fully established.
“The manager told us they were currently developing end of life care planning provision, to ensure information was recorded about how people wanted to be supported at the end of their life.” from the report
- 01How do you make sure staffing remains consistent, especially during a move into the home?
- 02What building work has now been completed, and how will any remaining work affect residents?
- 03How do you make sure all staff encourage my relative to take part in the social activities they choose?
- 04How are restrictive interventions monitored, and what support is given to reduce their use?
- 05How would you record and review my relative's end of life wishes?
This was an unannounced planned inspection covering all five CQC questions, the care provided and the premises; the previous overall rating was also Good. This explanation was written from the published report of 8 August 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 Westbrooke Grange
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 January 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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21 live-in carers within about an hour of Torbay
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 £1,400 a week. 17 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.