Care and Support Service - Westbury Fields was rated Good overall following an announced inspection in December 2014, with four of five key questions rated Good. The single Requires Improvement rating for Well-led reflected a regulatory breach for failing to notify the CQC of a serious injury sustained by a service user in August 2014, as required under Regulation 18 of the CQC (Registration) Regulations 2009.
Concerns (2)
critical
Governance
: “The provider had failed to notify the Commission of a serious injury sustained by a person who used the service.”
minorCare planning: “we found one care record that showed the service had not recorded that a review of a person's needs had been undertaken since their discharge from hospital.”
Strengths
· People felt safe and praised the caring nature of staff, with positive feedback from relatives and visitors throughout the inspection.
· Medicines were managed safely with individual risk assessments and auditing systems in place while promoting people's independence.
· Staff received regular training, supervision every three months, and annual appraisals with personal development plans.
· Staff demonstrated good understanding of the Mental Capacity Act 2005 and consent procedures.
· Complaints were handled promptly and effectively, with five formal complaints in 2014 all resolved within required timescales.
Westbury Fields is a domiciliary extra care housing service rated Good across all five key questions at its December 2019 inspection, maintaining its previous Good rating from 2017. The main improvement area identified was that some care plans lacked sufficient detail on individual needs and preferences, though staff demonstrated strong knowledge of people in practice.
Concerns (2)
moderateCare planning: “some care plans contained basic information relating to people's individual support and care needs. This meant staff did not have sufficient guidance on how to support people with specific health needs such as using their oxygen.”
minorCare planning: “care plans did not always contain enough information for staff to know about people's background, interests and preferences...there was no information on how staff should support a person when they were depressed”
Strengths
· People felt safe and staff were described as kind, dignified and respectful, with a consistent team supporting them.
· Risks were well assessed and managed, with person-centred approaches to risk including respecting individual choices.
· Safe recruitment processes in place including DBS checks, references and full employment history.
· Medicines managed safely with accurate MAR records and staff trained in medicines administration.
· Staff received regular supervision, mandatory training including safeguarding, MCA, dementia and food hygiene.
Care and Support Service – Westbury Fields received a Good rating across all five key questions at its announced April 2017 inspection, with people and relatives consistently praising the caring, respectful and well-organised service. The sole minor recommendation was to separate the logging of tenancy and care-related complaints, with no regulatory breaches identified.
Concerns (1)
minorComplaints handling: “We would recommend that there is a separation in the logging of complaints in respect of tenancy and care issues.”
Strengths
· People consistently reported feeling safe, with strong safeguarding training and clear reporting protocols in place for all staff.
· Robust recruitment procedures including enhanced DBS checks and written references ensured unsuitable staff could not be employed.
· Staff received comprehensive mandatory training including Care Certificate, MCA/DoLS, dementia awareness and person-specific training.
· Regular supervision sessions, team meetings and accessible management structure provided strong staff support.
· Medicines administration was tightly controlled with training, spot checks, monthly audits and re-training where discrepancies were found.