CQC report explained · a care home with nursing
What the CQC found at Westbury Nursing Home And Westbury Garden Suite
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Risks, medicines, staffing, recruitment, infection control and learning from incidents were managed well.
- Effective?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found clear leadership, regular audits, open communication and a person-centred culture. Staff felt supported and worked with health and social care professionals.
What inspectors found, November 2022
Westbury Nursing Home And Westbury Garden Suite was rated Good; inspectors found safe care and strong management during a focused inspection.
Inspectors visited without notice on 05 October 2022. They spoke with people living at the home, relatives and staff, watched how care was given, and checked care, training and management records.
The home was rated Good for Safe and Well-led. People said they felt safe, staff were kind, risks were managed, medicines were handled safely and there were enough staff on duty. Recruitment checks and infection control arrangements were also in place.
Managers used audits and feedback to monitor the home. Staff said they felt supported and worked well as a team. The overall rating stayed Good, but this visit only checked Safe and Well-led. The other ratings were carried over from the previous inspection.
People felt safe
People told inspectors they felt safe. Staff understood how to recognise and report abuse, and managers investigated concerns and referred them externally when needed.
“People confirmed they felt safe.” from the report
Risks were managed
The home had clear risk assessments covering areas such as mobility, skin care, continence and nutrition. Fire safety and other environmental checks were also completed.
“Risks to people were assessed and managed well for people's safety.” from the report
Medicines were handled safely
Medicines were stored, administered and recorded safely. Staff were trained and checked as competent, and the system was regularly audited.
“Medicines were administered, stored and disposed of safely.” from the report
Kind and person-centred care
Inspectors saw staff provide care in a kind and compassionate way. The home supported people to spend time with their partners and focused on individual needs.
“We observed staff deliver care and support in a kind and compassionate manner.” from the report
Strong teamwork and leadership
Staff described positive leadership and teamwork. The home used audits, meetings and feedback to monitor care and identify improvements.
“It was evident that the achievements were not down to one individual but had been achieved collectively with the involvement of the whole team.” from the report
Inspectors raised no specific concerns in this report.
- 01How many permanent staff and agency staff are currently working on each shift?
- 02What progress has been made with recruiting permanent staff since the inspection?
- 03Has the registered manager remained in post, and what changes have been made since the 2022 inspection?
- 04What were the previous ratings for Effective, Caring and Responsive, which were carried forward into this overall rating?
- 05How are families currently involved in feedback, meetings and decisions about planned changes?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection. This explanation was written from the published report of 9 November 2022 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, October 2017
Westbury Nursing Home And Westbury Garden Suite was rated Good; inspectors found kind, safe care, with some records and call-bell arrangements needing attention.
This was an unannounced inspection on 12 and 13 September 2017. Inspectors spoke with people living in the home, relatives, staff and visiting health professionals. They also checked care records, medicines records, staff files 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 treated kindly, received personalised care, had access to activities and were supported with their health needs.
The home had improved its medicines management since the previous inspection in July 2015. The earlier breach had been addressed. Inspectors still found some incomplete records, concerns about whether people in communal areas could call for help, and a lack of detail in some audits.
Medicines improved
The home had fixed the medicines management problem found at the previous inspection. Inspectors found medicines were stored, given and recorded safely.
“At this visit, we found improvements had been made, these records were fully completed.” from the report
Kind and respectful care
People were treated with dignity and privacy. Inspectors saw friendly, warm interactions and staff understood people's care needs and preferences.
“We saw good interactions between staff and people they supported during the days of our visit.” from the report
Personalised support
Care plans included people's communication needs, choices, preferences, life histories and clinical needs. People and relatives were given opportunities to be involved.
“People received care that was responsive to their needs.” from the report
Activities and community links
The home provided varied activities and encouraged links with the local community, including visits involving children and a local school.
“A wide range of activities were provided and community involvement was actively encouraged.” from the report
Staff training and support
Staff received an induction, mandatory training and regular supervision. Inspectors found staff were positive about the support and guidance they received.
“Staff views were positive about the support, guidance, training and supervision they received.” from the report
Incomplete safety records
needs fixingTwo records for people at risk of skin damage were not fully completed for the two days before the inspection. The home said the care had been given, but the records did not show this fully.
“required actions to mitigate risks were not always fully recorded.” from the report
Wound care records
needs fixingNurses knew about people's wounds, but the records did not always describe their condition and progress. The home planned to strengthen the recording of dressing changes.
“The registered nurses we spoke with were aware of the condition and progress of each person's wound. However, this detail was not always recorded.” from the report
Limited detail in audits
minorSome audits did not say how many care plans had been checked or when improvements were made. Managers agreed to review the audit programme.
“The care plan audits did not specify the number or actual care plans that had been checked.” from the report
- 01Have all people who spend time in communal areas now been given a pendant alarm or another reliable way to call for help?
- 02How do you check each day that repositioning and other risk-management records are complete?
- 03How are wound changes and progress recorded after each dressing change?
- 04What changes have been made to the care plan audit process, and how do you record the actions taken?
- 05How will you keep medicines records complete and safe following the improvements made since the previous inspection?
This was an unannounced inspection covering all five quality areas and checking whether earlier medicines management improvements had been made. This explanation was written from the published report of 21 October 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 Westbury Nursing Home And Westbury Garden Suite
3 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Westbury Nursing Home And Westbury Garden Suite →
- October 2017Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Westbury Nursing Home And Westbury Garden Suite →
- July 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
40 live-in carers within about an hour of Bristol, City of
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 £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“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.