CQC report explained · a residential care home
What the CQC found at Westcliffe Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that individual risks were assessed and managed, medicines were handled safely, staffing was sufficient and recruitment checks were completed. Infection control and learning from incidents were also considered effective.
- Effective?
- Good
- This key question was not inspected during this visit. Its rating carried over from the previous inspection.
- Caring?
- Good
- This key question was not inspected during this visit. Its rating carried over from the previous inspection.
- Responsive?
- Good
- This key question was not inspected during this visit. Its rating carried over from the previous inspection.
- Well-led?
- Good
- Inspectors found that the management team was open and inclusive, involved people and relatives, and used audits, feedback and incidents to improve care.
What inspectors found, August 2023
Rated Good; inspectors found safe care and strong management, and found no evidence people were harmed by the concerns that prompted the inspection.
This was an unannounced inspection. Inspectors reviewed care, medicines, staffing, recruitment, infection control, incidents and management records. They spoke with people living in the home, relatives and staff, and observed care.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed and managed, medicines were given safely, staffing levels were suitable, and infection control arrangements were effective.
People and relatives said staff were kind, knew people well and listened to their wishes. The management team used audits, feedback and incidents to improve care. The inspection was prompted partly by concerns about risk management, but inspectors found no evidence that people were at risk of harm from those concerns.
Only Safe and Well-led were inspected during this visit. The other key question ratings were not reassessed and the overall Good rating remained based partly on the previous inspection.
Risks were managed
The home assessed risks linked to people's individual needs and reviewed them regularly. Inspectors found detailed plans for people with complex health conditions.
“Risks associated with people's individual needs had been fully assessed and were well managed.” from the report
Safe staffing
Inspectors found enough suitably trained staff were deployed. Staff were recruited with references and Disclosure and Barring Service checks.
“The provider ensured enough suitably trained staff were always deployed to safely meet people's needs.” from the report
People were involved
People and relatives were involved in care decisions and said staff and managers listened to their views and wishes.
“People and their relatives were fully involved in their care and felt staff and the management team listened to their views and wishes.” from the report
Management oversight
The home used regular audits, staff feedback and incident reviews to identify and act on issues affecting care quality and safety.
“Internal quality assurance processes were effective in monitoring the service and highlighted any quality concerns.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review the risks linked to my relative's individual health needs?
- 02What action was taken after the fire service identified risks linked to the age of the building?
- 03How do you check that my relative's medicines are given on time and remain safe to use?
- 04How often are my relative's care plans and risk assessments reviewed?
- 05How will you monitor the areas that were not inspected during this visit?
This was a focused inspection of Safe and Well-led; the other key question ratings carried over from the previous inspection. This explanation was written from the published report of 5 August 2023 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
Westcliffe Care Home was rated Good; inspectors found safe, kind and personalised care, with some reporting and complaints information to improve.
This was an unannounced comprehensive inspection in September 2017. Inspectors spoke with people living at the home, relatives, staff and health professionals. They observed care and checked care records, medicine records, staff files, training, rotas, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People generally felt safe and well cared for. Inspectors found enough staff, safe medicine arrangements, suitable training, respectful care, individual care plans and activities, and systems to monitor quality.
There were two incidents that should have been referred to the local authority but were not. People were also unsure where to find the complaints procedure. The home remained Good, the same overall rating as at the previous inspection in September 2015.
Enough staff
Inspectors found enough staff to respond to people's needs. Call bells were answered promptly.
“There were enough staff to meet the needs of people who used the service.” from the report
Safe medicines
Medicine systems were clear and staff followed safe practice while respecting people's wishes.
“We found that medicines were stored and administered safely.” from the report
Kind and respectful care
People described staff as attentive and kind. Inspectors saw staff supporting dignity, choice and independence.
“There were positive and caring relationships between people who used the service and staff.” from the report
Personalised support
Care plans included people's preferences, life history and the tasks they could do independently. Activities were adapted for people living with dementia.
“Staff had a good understanding of people's current needs and there were care plans in place which detailed people's needs and preferences with all aspects of daily living” from the report
Access to healthcare
People had regular access to health services, and staff acted on professional advice.
“The records we viewed confirmed that people had regular access to a variety of healthcare services” from the report
Some incidents not reported
seriousTwo incidents that should have been referred to the local authority had not been referred. The manager said this would be addressed in future.
“We noted two incidents which should have been referred to the local authority but had not been.” from the report
Complaints information unclear
needs fixingPeople felt able to speak to the manager or staff, but were unsure where the complaints procedure was. The manager said this would be discussed at the next meeting.
“People were unsure about where the complaints procedure was and so the registered manager said they would discuss this at the next meeting” from the report
Some refurbishment still needed
minorThe provider had refurbished some areas and had an ongoing redecoration programme, but inspectors noted that other areas still needed refurbishment.
“We saw some areas of the service had been refurbished and others were in need of refurbishment” from the report
- 01How do you make sure every incident that should be referred to the local authority is reported promptly?
- 02Where can residents and relatives find the complaints procedure, and how do you make sure people understand it?
- 03Which parts of the home still need refurbishment, and what is the timetable for completing this work?
- 04How are care plans reviewed with residents and their relatives when needs or preferences change?
- 05What activities are currently available for people living with dementia, and how are individual preferences used to plan them?
This was an unannounced comprehensive inspection covering all five quality areas, using observations, discussions and records; the report states that the overall rating remained Good from September 2015. This explanation was written from the published report of 11 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 Westcliffe Care Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2017Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 7 March 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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