CQC report explained · a residential care home
What the CQC found at Westfield Rest Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, December 2022
Westfield Rest Home rated Good; inspectors found safe care and good management, with no breaches reported.
The inspection was unannounced and took place from 29 to 30 November 2022. One inspector spoke with four people, four staff members and the registered manager. They observed care, checked records and looked around the building, including infection control arrangements.
The home was clean and maintained, with enough staff to meet people's needs. Staff recruitment, safeguarding, risk management and medicines systems were found to be effective. Inspectors were also assured that infection prevention arrangements were suitable.
The management team used audits to check the service and acted on suggestions from people and relatives. The overall rating was Good, which was unchanged from the previous inspection published in January 2020. This inspection only rated Safe and Well-led.
Safe medicines
Medicines records and procedures were in place. Inspectors saw medicines being given safely and at the right time.
“We saw people received their medication safely and at the right time.” from the report
Enough staff
There were enough staff during the inspection, and people said they did not have to wait long for help.
“There were sufficient staff at the time of the visit to support people's care needs.” from the report
Good oversight
The manager used audits covering areas such as medicines, the building and care records to monitor the service and identify improvements.
“The registered manager had good auditing systems to maintain ongoing oversight and continued development of Westfield Rest Home.” from the report
Friendly environment
People and staff described the home as caring, relaxed and supportive. People said the small size helped them know each other well.
“A lovely, friendly family home. I like it because it's small and we know each other well.” from the report
Provider information was not submitted
minorThe provider had not completed the required annual information return before the inspection. This meant the inspector had to rely on other information when planning the inspection.
“The provider did not complete the required Provider Information Return.” from the report
- 01How do you make sure there are enough staff on every shift, including when staff are absent?
- 02How are medicines audits followed up if they identify a problem?
- 03How will visiting work if there is another COVID-19 outbreak?
- 04What improvements have been made in response to recent surveys from relatives and staff?
- 05Why was the required Provider Information Return not completed, and is this now up to date?
This was an unannounced focused inspection of Safe and Well-led; the other three key question ratings were not assessed in this report. This explanation was written from the published report of 30 December 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, January 2020
Westfield Rest Home was rated Good; inspectors found safe, kind and personalised care across all five areas.
The inspection was unannounced and took place on 7 January 2020. One inspector spoke with people living at the home, managers and staff, observed care, and reviewed records, medicines, staffing, recruitment, food arrangements and the building.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were protected from abuse, medicines were managed safely, staff were trained, and people received support with their health and nutrition.
Inspectors saw kind and respectful care. People were offered choices, supported to take part in activities, and helped to maintain relationships and independence. The home had systems for complaints and quality checks, although no formal complaints had been received since the previous inspection.
The previous inspection, published on 30 March 2017, also rated the home Good. This was a planned inspection based on that rating, and the next inspection will be scheduled in line with the overall rating.
Safe care
Inspectors found that people were protected from abuse and that risks were assessed and reviewed. Staffing and recruitment arrangements were also considered safe.
“People were safe and protected from abuse and their human rights were respected and upheld.” from the report
Medicines
Medicines were given at the right time by trained staff, and records and observations supported this.
“Medicines continued to be managed safely, and people received their medicines when they should.” from the report
Kind and respectful staff
People were treated with patience, dignity and respect. Staff supported privacy and recognised people's individual backgrounds and needs.
“People continued to be treated with kindness and patience.” from the report
Personalised support
Staff knew people's preferences and supported them to make everyday choices about their care and activities.
“People continued to receive care and support which was personalised to them.” from the report
Food and healthcare
People were offered choices of food and drinks, with support for nutrition where needed. Healthcare appointments and referrals were arranged when required.
“People were provided with meals and drinks they enjoyed, and their comments confirmed this.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's care plan when their needs or preferences change?
- 02What activities would be available for my relative, and how would you support their individual interests?
- 03How would you manage my relative's medicines, including any changes or side effects?
- 04What staffing levels would be in place for my relative's needs, including at night?
- 05How would my relative or our family raise a concern, and how would you keep us informed about the response?
This was an unannounced inspection covering all five CQC key questions; the previous overall rating and each area rating were also Good at the inspection published on 30 March 2017. This explanation was written from the published report of 28 January 2020 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 Westfield Rest Home
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- December 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2020Goodstayed GoodSafe: GoodWell-led: Good
- July 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016Requires improvementstayed Requires improvementWell-led: Requires improvement
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 11 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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32 live-in carers within about an hour of Blackpool
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 £1,250 a week. 31 can care for a couple. 12 years' experience on average.
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.