CQC report explained · a residential care home
What the CQC found at Westwood
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Risks were assessed, there were enough staff, medicines were managed safely and staff knew how to report concerns.
- Effective?
- Good
- Care followed relevant guidance and staff had the training and knowledge needed to support people. People were helped with food, health appointments and advice from other professionals.
- Caring?
- Outstanding
- Staff provided exceptionally compassionate and individual support. They helped people maintain important relationships, make decisions and achieve personal goals.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and communication methods and were reviewed when needs changed. People were supported to take part in activities, education, work and community life.
- Well-led?
- Good
- Inspectors found open management, a stable staff team and regular checks on care quality. Feedback from people, relatives and staff was positive and suggestions were acted on.
What inspectors found, June 2019
Rated Good overall, with Outstanding caring; inspectors found safe, personalised support that helped people become more independent.
This was a planned inspection on 15 May 2019. One inspector spoke with people, relatives, staff and managers. They reviewed care records, medicine records, staff recruitment files, training records, incidents and quality checks.
The home supported nine people with learning disabilities or autistic spectrum disorder. Inspectors found enough staff, safe medicines systems, suitable risk plans and good support with health, food and activities. Staff understood people's needs and helped them make choices and build independence.
Caring was rated Outstanding. The other four areas were rated Good: Safe, Effective, Responsive and Well-led. The overall rating stayed Good, as it had been at the previous inspection in October 2016.
Compassionate care
Inspectors found that staff formed trusting relationships with people and gave flexible support that went beyond basic care.
“Staff provided exceptionally compassionate, person - centred care and support, where promoting independence was key to this.” from the report
Promoting independence
People were supported to take gradual steps towards their goals, including going out, travelling, preparing food and considering future work or education.
“With the commitment of the provider's staff, people had extremely positive outcomes in relation to their goals, aspirations and achievements.” from the report
Safe staffing and medicines
There were enough staff to support people safely and take part in activities. Medicines were stored, given and checked through organised systems.
“Medicines systems were organised, and people received their medicines when they should.” from the report
Individualised support
Staff were matched with people and understood their communication, preferences and support needs. Care plans were updated when circumstances changed.
“People's care and support plans had been reviewed regularly and updated to reflect any changes to people's needs.” from the report
Maintaining relationships
Staff helped people stay in touch with family and friends, including supporting visits, meals out and contact during difficult times.
“People were well supported by staff to visit and stay in touch with those people who were important to them.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you match staff to my relative's personality, communication style and support needs?
- 02What specific goals would you agree with my relative, and how would you measure progress towards greater independence?
- 03How would you support my relative to communicate choices, feelings or concerns if they use pictures, objects of reference or Makaton?
- 04What activities, education, work or community opportunities could my relative take part in?
- 05What progress has been made with developing the rear outside area and decorating the home?
This was a planned inspection covering all five CQC areas, with interviews, record checks and observations; the report says two people's care records and two medication records were reviewed. This explanation was written from the published report of 19 June 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.
What inspectors found, October 2016
Rated Good; inspectors found safe, kind and personalised care, with one medication error recorded and addressed.
Inspectors visited the home on 24 August 2016. The visit was announced. They spoke with people living there, relatives, managers and care staff. They also observed care and reviewed care records, quality checks and other documents.
The home supported nine people with learning disabilities or autism. Inspectors found that people were kept safe, received their medicines as prescribed and had their health and nutrition needs met. Staff knew people well and supported their choices, communication, privacy and independence.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report found good systems for managing risks, supporting staff, listening to feedback and improving the service. It also records one medication error in July 2016, followed by staff competency training and other action.
Personalised care
Care plans reflected people's likes, dislikes and preferred routines. Staff used this information to provide consistent support.
“Everyone living at Westwood had a support plan which was detailed and personalised to them.” from the report
Kind and respectful staff
Inspectors saw staff treating people with kindness and giving them space and privacy. Staff also encouraged people to do things for themselves.
“Staff were attentive, patient and treated people with kindness.” from the report
Good communication support
Staff used communication books, pictures, objects, signs and symbols to help people express choices and needs.
“Staff used communication books and 'My autism books' to help them understand how these people preferred to communicate.” from the report
Strong safety systems
Risk assessments were detailed and reviewed monthly. Staff understood safeguarding procedures, emergency plans and people's individual health risks.
“Detailed risk assessments and management plans were in place for staff to follow to reduce any identified risks to people's health and wellbeing.” from the report
Listening and improvement
The provider sought views from people, relatives, staff and professionals. Managers used audits and feedback to make changes.
“Effective quality assurance systems were in place to review and ensure the quality and safety of the service provided.” from the report
Medication error
minorThe report records a medication error in July 2016. The manager responded with staff competency training and required staff to read the medicines policy.
“Records showed in July 2016 a medication error had occurred.” from the report
- 01What happened after the medication error in July 2016, and how do you now check that medicines are given correctly?
- 02How will staff support my relative to communicate choices if they have limited speech?
- 03How are Deprivation of Liberty Safeguards applications reviewed and how will my relative's freedom be protected?
- 04How will my family be involved in reviewing and changing the support plan?
- 05How do you make sure there are enough familiar, trained staff when permanent staff are absent?
This was an announced inspection covering all five key questions, including observations, discussions with people and relatives, and reviews of care and quality records. This explanation was written from the published report of 11 October 2016 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 Westwood
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Registered with the Care Quality Commission on 18 June 2014.
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
At least 100 live-in carers within about an hour of Coventry
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 £950 to £1,260 a week. 80 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“My mum would not eat, drink, bath nor sleep without her. In short, she was FAMILY and we loved her dearly”
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.