Background to this inspection
Updated
19 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector visited the service
Service and service type
Westbridge rehabilitation unit is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and spoke with other professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including, the registered manager, deputy manager, and care workers. We spoke with two visiting relatives and a visiting health professional.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We requested additional evidence to be sent to us after our inspection. This included training matrix, handover notes and a variety of policies. We received the information which was used as part of our inspection.
Updated
19 October 2019
About the service
Westbridge House Rehabilitation Unit is registered to provide care and accommodation for up to 25 people. The home provides care for those with needs relating to their mental health and misuse of drugs and alcohol. At the time of inspection there were 22 people living at the service.
People’s experience of using this service and what we found
People living at Westbridge rehabilitation unit were happy and well supported. The home provided a safe place for people to live and enjoy their lives. Risks to people were assessed and managed appropriately to promote independence. There were suitable numbers of appropriately recruited staff. People were supported to self-medicate when possible and appropriate systems were in place to manage medicines safely.
Staff were well trained and received suitable support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s diverse needs were assessed and respected.
Staff were kind and caring and promoted positive relationships with people within the environment. Staff understood their roles clearly and knew what was expected of them. The service had a warm, friendly and welcoming atmosphere with people enjoying the way staff provided them with care and support. Relatives spoke positively about the service.
People and their relatives told us they were able to spend time in a way they chose to. Staff understood the importance of supporting people to be socially included and prevented them from social isolation. Complaints were responded to in line with company policy. People were encouraged to express their feelings and were supported with bereavement.
The service was focused on people’s wellbeing and having a sense of purpose. The registered manager promoted the visions and values of the service by embedding an open and honest culture. Staff felt supported in their role and had formed good working relationships. Quality assurance systems in place, monitored the service effectively and drove improvements when they were needed.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
At the last inspection this service was rated Good, (published 08 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.