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CQC report explained · a residential care home, run by Derbyshire Care Services

Western House

211 Western Road, Mickleover, Derby, DE3 9GU

Goodpublished 15 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
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.
The latest report, explained

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.

What inspectors praised
  • 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
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess and review my relative's individual risks before admission?
  2. 02How would you support my relative to manage their medicines safely and build independence if appropriate?
  3. 03How do you involve people in their recovery plans and regular reviews?
  4. 04How do you review incidents and make sure lessons are acted on?
  5. 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.

The story over the years

Every inspection of Western House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Western House

  2. January 2018Goodstayed Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. 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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