What the CQC found at Weston Villa

The home had care plans and guidance for people with Prader-Willi Syndrome. Staff also worked with dietitians, speech and language therapists and other health professionals.

“People were supported with their Prader-Willi Syndrome (PWS) needs and care plans were in place to support people to make healthy choices around food and drinks.” from the report

People were supported to make everyday decisions, follow their preferred routines and learn new skills. Inspectors saw staff encouraging independence during an outing.

“Staff supported people to have choice, control and independence over their own lives.” from the report

Staff received induction, ongoing training, supervision and appraisals. Inspectors found that staff understood people's needs and how to respond to distress safely.

“An ongoing schedule of training was in place, to ensure staff kept up to date with good practice.” from the report

The home had an action plan and improved checks covering medicines, care records, infection control and the environment. Inspectors saw that many planned actions had been completed.

“The registered manager was very open and honest about what improvements were required and welcomed the inspection as an opportunity to learn.” from the report

Around 90 hours a week still needed to be recruited. Staffing was being reviewed because relatives and managers identified that more hours were needed for activities and trips outside the home.

“We were informed there was approximately 90 hours per week that needed to be recruited to.” from the report

For medicines prescribed as a variable dose, staff did not have clear instructions about when to give the lower or higher amount. The medicines champion began addressing this during the inspection.

“However, where there was a variable dose, for example, take 1-2 tablets there was no guidance for staff when to administer 1 tablet or 2 tablets.” from the report

Some people spent a lot of time alone in their rooms or indoors. The home was trying to increase outings and activities, but staffing and people's reluctance to go out were barriers.

“Some relatives felt their family members were at risk of social isolation because they were spending more time in their rooms on their own.” from the report

Some relatives found it difficult to contact the home, receive replies or obtain care plan information. The home had started family action plans, communication logs and regular telephone calls to improve this.

“Some relatives did not feel that communication was effective, and they did not feel involved in their family members care.” from the report

Two bedrooms in Henson Court looked tired and needed refreshing. Requests for work had been made, and other personalisation work was already under way.

“The two remaining bedrooms looked tired and in need of refreshing.” from the report