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CQC report explained · a residential care home

What the CQC found at Westfield Residential Home

Goodpublished 23 June 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, June 2018

Rated Good overall; inspectors found safe, kind and responsive care, but the home’s leadership and quality records required improvement.

This was an unannounced, comprehensive inspection on 25 April 2018. Inspectors observed care, checked records and policies, and spoke with people living in the home, relatives, staff and a healthcare professional.

The home was rated Good for safe, effective, caring and responsive care. Inspectors found enough staff, safe medicines practice, kind and respectful support, suitable activities and good support with food, drinks and healthcare.

The well-led rating fell to Requires Improvement. Quality checks did not reliably identify problems or record what action had been taken. Some care and risk plans were incomplete, required training updates were overdue, and some notifications had not been submitted.

The overall Good rating means the main areas of care met the CQC standard at the inspection. It does not mean everything was perfect, particularly because the home needed to improve its leadership, monitoring and record keeping.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels were sufficient and call bells were answered promptly. Staff were visible throughout the day.

    “Observations we completed showed that there were sufficient staff to support people.” from the report
  • Kind and respectful care

    Staff listened to people, respected their choices and supported their privacy and dignity. Inspectors saw warm and reassuring interactions.

    “Staff had a caring approach and their responses to people indicated that nothing was too much trouble.” from the report
  • Support with food and drink

    Staff understood people’s dietary needs and preferences. People were offered help at mealtimes, adapted cutlery and frequent drinks.

    “Staff asked people if they required support with cutting food up and applying condiments.” from the report
  • Family contact and activities

    People were supported to keep in touch with relatives and friends. The home provided activities and accessible transport for outings.

    “People were supported to keep in touch with family and friends and visitors were made welcome at the home.” from the report
What inspectors were concerned about
  • Weak quality monitoring

    needs fixing

    Audits and feedback did not consistently show what problems had been found, what action was needed or whether action was completed. The provider made some improvements after the inspection.

    “Quality monitoring had not always identified and recorded where there were gaps and where action had been taken.” from the report
  • Incomplete care and risk records

    needs fixing

    Some care plans and risk assessments were incomplete. One person had been at the home for 10 days without a completed care plan, although staff knew the person’s needs.

    “One person had no care plan completed, despite been in the service for 10 days.” from the report
  • Training needed updating

    needs fixing

    Training in safeguarding, mental capacity, DoLS and other mandatory subjects was overdue for updating. The managers knew this and planned to address it.

    “However, training required updating in safeguarding, mental capacity and DOLS.” from the report
  • Some notifications missing

    needs fixing

    Required notifications had not all been submitted. The home addressed some matters after inspectors explained the process, but some DoLS notifications were still outstanding.

    “We are still awaiting receipt of some notifications relating to DoLS, which is being dealt with outside the inspection process.” from the report
Questions to ask them, based on this report
  1. 01Are all current care plans and risk assessments complete, especially for people with falls or changing health needs?
  2. 02Have safeguarding, mental capacity and DoLS training updates now been completed for all relevant staff?
  3. 03How do your audits identify trends, record required actions and check that improvements have been completed?
  4. 04Have all required DoLS notifications been submitted to the CQC?
  5. 05How are residents told in advance about the activities and outings planned for them?

This was an unannounced comprehensive inspection covering all five CQC questions, with the four care ratings remaining Good and the well-led rating changing to Requires Improvement. This explanation was written from the published report of 23 June 2018 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.

The story over the years

Every inspection of Westfield Residential Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. June 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Westfield Residential Home →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    We are reading this report · the original is on cqc.org.uk

  3. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 7 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.

Next steps

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Care at home

16 live-in carers within about an hour of East Riding of Yorkshire

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 £1,420 a week. 14 can care for a couple. 7 years' experience on average.

“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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“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.”
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See live-in carers near East Riding of YorkshireProfiles, rates and reviews are free to look at.

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