CQC report explained · a nursing home
What the CQC found at Westwood Hall Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, testing, PPE, visiting arrangements and the management of outbreaks. The provider said it had measures to reduce the risks from COVID-19-related staffing pressures.
- Effective?
- Good
- This question was not rated in this targeted inspection.
- Caring?
- Good
- This question was not rated in this targeted inspection.
- Responsive?
- Good
- This question was not rated in this targeted inspection.
- Well-led?
- Good
- This question was not rated in this targeted inspection.
What inspectors found, February 2022
Westwood Hall Nursing Home was inspected but not rated; inspectors were assured about infection control and visiting arrangements.
This was an announced, targeted inspection on 11 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, visiting arrangements and staffing pressures.
Inspectors found regular COVID-19 testing, screening for visitors and staff, effective use of personal protective equipment and arrangements to support visits. They were assured that the home could prevent and manage infection outbreaks.
The home was inspected but not rated. The report does not provide ratings for care quality areas other than noting that Safe was inspected but not rated.
Infection control
Inspectors were assured that the home was using PPE safely and had enough PPE available.
“Staff used personal protective equipment (PPE) and followed guidance and practices. There was abundant PPE available to staff.” from the report
Testing and screening
The home had regular testing and screening arrangements for people living there, staff, essential carers and visitors.
“There was a programme of regular COVID-19 testing for both people living in the home, staff, essential carers and visitors to the home.” from the report
Contact with relatives
The home provided a visiting pod and supported essential care-giver visits while following the guidance in place.
“There was visiting pod outside the front entrance so relatives could see their loved ones regularly reducing the risk of infection to visitors and people living at the home.” from the report
Outbreak management
The registered manager was described as aware of their responsibilities and worked with partner agencies during the COVID-19 outbreak.
“The registered manager was aware of their responsibilities and managed the COVID-19 outbreak with support from relevant partner agencies.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place if COVID-19 or another infection outbreak occurs?
- 02How would you support visits and contact with relatives if restrictions were introduced again?
- 03How do you currently manage staffing pressures linked to sickness or infection outbreaks?
- 04How often are people living in the home and staff tested when there is an infection concern?
- 05How do you make sure visiting professionals meet the vaccination or exemption requirements described in the report?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 25 February 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, December 2018
Rated Good; inspectors found safe, kind and personalised care, but some records and staffing arrangements needed attention.
This was an unannounced inspection on 12 and 14 November 2018. Inspectors spoke with people living in the home, relatives and staff. They observed care and looked at care plans, medicines, recruitment, training, safety records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were protected from abuse, supported with medicines and helped to manage their health. Inspectors saw kind interactions, personalised care plans and respect for people's choices and dignity.
The home had improved since the previous inspection in June 2016, when there was a breach about medicines records and storage temperatures. That breach had been addressed. Inspectors still found gaps in some room monitoring records and delays in some quality paperwork. Agency staff were also used because of vacancies, and some people felt they did not always know people's care needs well.
Safe medicines management
Medicines were audited regularly and records were being completed appropriately. Controlled medicines were stored securely, and the problems found at the previous inspection had been addressed.
“Medication audits were carried out on a monthly basis to help identify and address any issues.” from the report
Kind and respectful care
Inspectors observed positive relationships between staff and people. Staff promoted dignity, privacy and choice in everyday care.
“Our observations and people's feedback confirmed that staff were caring, patient and compassionate.” from the report
Personalised care planning
Care plans included people's histories, preferences, hobbies, health needs and future wishes. People and relatives were involved in creating and reviewing them.
“Care plans were person centred and completed with the people who lived in the home, their family members and any professionals involved in their care.” from the report
Approachable leadership
The manager had a visible presence and people and staff felt able to raise concerns. Meetings, surveys and action plans were used to gather views.
“The registered manager maintained an active and visible presence at the home and it was evident that people found them approachable.” from the report
Gaps in monitoring records
needs fixingFour room monitoring records had gaps, so it was not always clear from those records whether planned support had been provided. The home said this was being addressed through staff supervision.
“Four peoples room monitoring records looked at, had gaps of when staff had not recorded support.” from the report
Activities were not meeting everyone's wishes
minorGroup and one-to-one activities were available, but some people and relatives wanted more activities or more help to go out. The activities coordinator also wanted further dementia activity training.
“One person told us "I can't see properly and would like to go out it doesn't seem to happen much anymore".” from the report
Some food records were missed
needs fixingAn agency chef had not completed food monitoring records for three days before the inspection. The agency was contacted and given a briefing about the omissions.
“There was an issue with agency staff (chef) not completing food monitoring records at the home for three days prior to this inspection.” from the report
- 01How do you check that room monitoring records are completed every time, and what happens when a record is missed?
- 02How do you make sure agency staff read and understand each person's care plan before providing care?
- 03How many health care assistant vacancies remain, and how often are agency or bank staff currently being used?
- 04How do you respond when someone wants more one-to-one activities or support to go outside?
- 05How are food monitoring records checked when agency kitchen staff are working?
This was an unannounced inspection of the whole service, covering all five CQC questions and including a detailed review of oral health support. This explanation was written from the published report of 8 December 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 Westwood Hall Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 December 2010.
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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Most charge £980 to £1,230 a week. 37 can care for a couple. 8 years' experience on average.
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