CQC report explained · a nursing home
What the CQC found at Westhampnett Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Risks were assessed, but action was not always taken consistently for people at risk of pressure injuries. Other safety arrangements, staffing, safeguarding, medicines, cleanliness and equipment checks were generally satisfactory.
- Effective?
- Good
- People's health, care and nutritional needs were assessed. Staff had relevant training and worked with health professionals, although the home identified further training and supervision improvements.
- Caring?
- Good
- Inspectors saw kind and respectful care. Staff promoted privacy, choice and independence and involved people in decisions about their care.
- Responsive?
- Good
- Care plans were personalised and activities had improved. The home listened to complaints and recorded how they were investigated and answered.
- Well-led?
- Good
- The provider had introduced improvements, audits and ways for people, relatives and staff to give feedback. There was no registered manager in post, but an application had been submitted.
What inspectors found, August 2018
Rated Good overall, but inspectors found improvements were needed to keep some people safe from pressure injuries.
Inspectors visited the home without warning on 5 and 9 April 2018. They spoke with people, relatives, staff and health professionals. They observed care and checked care plans, medicines records, staff records, complaints, accidents and the home's audits.
The home was rated Good overall. Effective, Caring, Responsive and Well-led were rated Good. Safe was rated Requires Improvement because risks relating to pressure injuries were not always managed consistently. Some records and equipment were put right during or after the inspection.
Inspectors found kind staff, enough staff on duty, safe medicines management, clean premises and personalised care. Staff supported people with meals, health care, activities and end of life planning. The previous problem with recruitment checks had been addressed.
Personalised support
Care plans included people's health, personal care, social and emotional needs. Staff discussed changing needs at handovers.
“People received personalised care which was responsive to their needs.” from the report
Good teamwork and improvement
The provider had introduced activities, feedback meetings and additional support for nutrition. Staff worked with community health teams and followed their advice.
“The provider's management team had introduced improvements and had plans for the future direction of the service.” from the report
Pressure injury prevention
seriousSome people at risk did not have complete skin care plans or clear repositioning instructions. One person did not have the specialist mattress inspectors said was needed until action was taken during the inspection.
“We found measures taken to assess and manage the risk of pressures areas were found to be in need of improvement.” from the report
Medicines storage and guidance
needs fixingMedicine storage temperatures were not being monitored when inspectors visited. Guidance for some as-needed laxatives and pain relief was also incomplete, although the home acted during the inspection.
“However, adequate guidance was not in place regarding 'as required' medicines for laxatives and pain relief” from the report
Some premises safety issues
needs fixingA fire exit was blocked by a bed, and some bed rails lacked suitable cushioning. Some cleaning chemicals were not securely stored. These issues were corrected during the inspection.
“On the first day of our inspection we found a fire exit route was blocked by a resident's bed; this was rectified once we raised it with the provider.” from the report
- 01How do you now identify people at risk of pressure injuries, and how often are their skin care plans reviewed?
- 02How do you make sure repositioning instructions are clear and followed for every person who needs them?
- 03How are specialist air flow mattresses set correctly and checked?
- 04How do you monitor medicine storage temperatures and keep guidance for as-needed medicines up to date?
- 05Has the manager's application to become registered with the CQC been completed?
This was an unannounced inspection covering all five key questions and the overall rating. This explanation was written from the published report of 14 August 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.
Every inspection of Westhampnett Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- August 2018Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- March 2012
Registered with the Care Quality Commission on 2 March 2012.
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
28 live-in carers within about an hour of West Sussex
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 £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.