CQC report explained · a residential care home, run by Derbyshire Care Services
Western House
211 Western Road, Mickleover, Derby, DE3 9GU
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable staffing and recruitment, safe medicines support, clean premises and effective infection control.
- Effective?
- Good
- This report does not give a rating or detailed findings for Effective.
- Caring?
- Good
- This report does not give a rating or detailed findings for Caring.
- Responsive?
- Good
- This report does not give a rating or detailed findings for Responsive.
- Well-led?
- Good
- The home had clear management arrangements, regular audits and an open culture. People and staff were involved in the service, and managers worked with outside professionals.
What inspectors found, December 2023
Western House is rated Good; inspectors found safe care and strong management.
The inspection was unannounced and took place on 27 November 2023. One inspector met everyone using the home, spoke with three people and three staff, and checked care records, risk assessments, recruitment files and management records.
The home was rated Good for Safe and Well-led. People were supported to take reasonable risks, manage their medicines safely and take part in the local community. Staff checks, staffing levels, infection control and incident reviews were also found to be suitable.
The home had an open culture. People and staff were involved in how it was run, and managers worked with health and social care professionals. The overall rating was unchanged from the previous Good rating, published in January 2018.
Support with choice and risk
People were supported to make choices, take reasonable risks and be part of the local community.
“People were supported to take reasonable risks, so that they could do things they enjoyed and be part of the local community.” from the report
Safe medicines support
People could develop their independence with medicines, moving from staff administration to prompts and then self-medication where appropriate.
“People were supported to manage their own medicines independently.” from the report
Clean and safe environment
Inspectors found the home clean and staff followed infection prevention and control procedures.
“The service was kept clean, and people were protected from the risk of an acquired health infection.” from the report
Positive culture
People and staff spoke positively about the culture, and managers supported person-centred recovery plans.
“There was a positive and open culture at the service.” from the report
Learning from incidents
Managers reviewed incidents for patterns and possible actions to reduce the chance of them happening again.
“Incidents were reviewed by the registered manager and deputy, to look for any themes and trends and identify any actions that could be taken to minimise reoccurrence.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and review my relative's individual risks before admission?
- 02How would you support my relative to manage their medicines safely and build independence if appropriate?
- 03How do you involve people in their recovery plans and regular reviews?
- 04How do you review incidents and make sure lessons are acted on?
- 05How would you support my relative during an infection outbreak?
This was an unannounced inspection focused on Safe and Well-led; the other three key questions were not rated in this report. This explanation was written from the published report of 15 December 2023 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 Western House
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodstayed GoodSafe: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 26 September 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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