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CQC report explained · a residential care home

What the CQC found at Westfields

Outstandingpublished 18 January 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding, recruitment, risk assessment, staffing and medicines systems. People said they felt safe and there were enough staff.
Effective?
Outstanding
Staff had strong skills and knowledge, including dementia awareness. Inspectors found creative support with food, exercise, health care and individual needs, leading to positive outcomes.
Caring?
Outstanding
People were treated with exceptional kindness, compassion, dignity and respect. They were involved in decisions and supported to maintain independence, relationships and personal interests.
Responsive?
Good
Care was personalised and people had many activities, trips and community links. Complaints systems were available and people said they could speak to the manager about concerns.
Well-led?
Good
The management team provided strong and consistent leadership. Audits, feedback and incident reviews were used to improve the service.
The latest report, explained

What inspectors found, January 2019

Rated Outstanding overall; inspectors found exceptionally effective and caring support, with the other areas rated Good.

This was an unannounced inspection on 6 December 2018. One inspector and an Expert by Experience spoke with people living at the home, relatives and staff. They observed care and checked care plans, medicines records, recruitment, training and quality records.

The home was rated Outstanding overall. Effective care and kindness were both rated Outstanding. Safe care, responsiveness and leadership were rated Good. Inspectors found people were treated with exceptional kindness, had their individual needs met and achieved positive health and wellbeing outcomes.

Inspectors found enough staff, safe medicines systems, good safeguarding knowledge and a clean environment. They also found strong community links, creative activities, good involvement of people in decisions and management systems focused on listening and improvement. The previous overall rating was Good, so the overall rating had improved.

What inspectors praised
  • Kind and respectful care

    Inspectors found a culture where people were valued as individuals and treated with compassion, dignity and respect.

    “People were treated with exceptional kindness and compassion.” from the report
  • Strong staff skills

    The home invested in staff knowledge and competence, including dementia training, supervision and development opportunities.

    “The staff team were highly motivated and there was a strong commitment on the development of their competence and knowledge.” from the report
  • Positive health outcomes

    Staff supported people with nutrition, mobility and access to health professionals. Inspectors saw evidence of improved health, confidence and independence.

    “The staff team were highly motivated and equipped with the right skills to support people to achieve excellent outcomes which turned their lives around.” from the report
  • People have a voice

    People helped shape activities, care and recruitment. The management team actively sought feedback from people, relatives and staff.

    “People are vocal because they know they will be heard.” from the report
  • Creative activities and community links

    The home offered varied activities, trips and ways to support reminiscence and engagement. People were encouraged to take part in the wider community.

    “The service was very much part of the community in Swaffham and built local links.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you keep the Outstanding standards in effective and caring support as my relative's needs change?
  2. 02How would you involve my relative in decisions about their care, activities and the staff supporting them?
  3. 03What dementia training and ongoing supervision do staff receive?
  4. 04How do you monitor medicines, incidents and accidents, and explain any learning to families?
  5. 05How would you support my relative's health, mobility, nutrition, interests and contact with the community?

This was an unannounced inspection covering all five CQC questions, including the premises and care provided; the previous overall rating was Good and the current overall rating improved to Outstanding. This explanation was written from the published report of 18 January 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.

The story over the years

Every inspection of Westfields

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. January 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Westfields →

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

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

  3. January 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2011

    Registered with the Care Quality Commission on 25 April 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

13 live-in carers within about an hour of Norfolk

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 £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.

See live-in carers near NorfolkProfiles, rates and reviews are free to look at.

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.