Weston House

Staff understood people's risks and knew how to keep them safe. People, relatives and staff were positive about the management.

“Staff knew people well. People, staff and relatives felt positive about the home management.” from the report

Staff understood different types of abuse, knew how to report concerns and felt able to raise issues with senior people.

“Staff understood how to keep people safe from the risk of abuse.” from the report

Although some risk information was out of date, inspectors found that care plans were person-centred and included people's beliefs and preferences.

“People's care plans were person-centred and contained information about their personal beliefs and preferences.” from the report

Staff made referrals when needed and followed recommendations from other professionals.

“Referrals were made to other professionals when required and staff followed their recommendations.” from the report

Cleaning and hygiene were not effective throughout the building. Inspectors found issues in the kitchen, toilets and bathrooms, including mould and dirty communal chairs, putting people at risk of infection.

“Infection prevention and control was not effective throughout the building which meant people were at risk of catching and spreading infections.” from the report

Checks did not identify gaps in radiator covers or an unlocked cupboard containing pipework. These issues could have exposed people to hot surfaces or other dangers.

“This meant people were at risk of accessing hot surfaces and potentially scalding or burning themselves.” from the report

The provider's checks did not give enough oversight of cleanliness, safety or medicines records. This was a continued breach of the good governance regulation.

“Governance systems were not robust enough to demonstrate oversight of the service to make sure people were safe.” from the report

There were stock discrepancies and some 'when required' medicines protocols lacked important details. One person's information did not explain their inhaler arrangements or reflect a medicines change.

“Medicines were not always safely managed.” from the report

Some staff files did not show a clear record of references or health screening. The provider also lacked a process for situations where potential employees were known to the manager.

“We found a lack of audit trail when staff references had not been received.” from the report

Mental capacity assessments were not decision-specific and did not contain enough detail. This meant people were not always supported in line with the Mental Capacity Act principles.

“Mental capacity assessments were not decision-specific and lacked detail.” from the report