West View

Inspectors found there were enough staff to meet people's needs. Recruitment checks, including references and DBS checks, were completed before staff started.

“People were supported by enough staff to meet their needs.” from the report

People and relatives generally felt happy and safe, and described the care and staff positively.

“The staff are wonderful, I'm looked after very well” from the report

The home worked with health professionals, including a weekly GP visit and community nurses when needed.

“The service had good working relationships with healthcare professionals.” from the report

Inspectors saw a calm mealtime where staff asked before helping, offered extra portions and supported people to eat independently.

“We observed there was a calm atmosphere during mealtimes with staff respectfully asking people if they needed support before intervening.” from the report

Inspectors were assured that infection risks, visitors, protective equipment and the premises were being managed appropriately.

“We were assured that the provider was preventing visitors from catching and spreading infections.” from the report

Weight loss, low fluid intake and missed diabetes checks were not always acted on promptly. This created a risk of avoidable harm.

“People were not always protected from the risk of unsafe care as their care needs and associated risks had not been routinely assessed, updated and monitored.” from the report

Medicine storage temperatures were not recorded every day. Some as-required medicines lacked guidance, and liquids and creams were not always dated when opened.

“People's medicines were not always managed safely.” from the report

Mental capacity assessments and best-interest decisions were missing for some restrictions, so the home could not show that people's rights were protected.

“Some people had restrictions place upon them to protect them from harm such as, sensor alarm mats to alert staff when people walked alone or bed rails in place to stop them falling from bed.” from the report

The home's audits and checks did not identify the problems found by inspectors, including gaps in care records, medicines management and risk monitoring.

“Quality assurance and governance systems to assess and monitor the quality and safety of the service provided to people were either not in place, not being completed or were not robust enough to ensure people were protected from the risk of harm.” from the report

The home had identified gaps in staff training and formal supervision, and was putting an improvement plan in place.

“However, there were gaps in the staffs' training.” from the report