The Westbury Care Home is a purpose built home that provides accommodation, nursing and personal care for up to 51 people. At the time of the inspection there were 39 people living at the home.

This inspection was over two days which took place on 10 and 11 May 2017. The visit on the 10 May was unannounced and the manager was aware of the second visit on 11 May 2017.

People told us they felt safe living at the home and staff made them feel secure. Members of staff were knowledgeable about the safeguarding of vulnerable adults from abuse procedures. They were able to identify the types of abuse and understood their responsibility in reporting abuse.

Risks were managed appropriately. Risks assessments on how staff were to minimise risk were in place, for example in ensuring people were supported to use their mobility equipment. Incidents and accidents were reported by staff and analysed to prevent any reoccurrence. The manager said where accidents and incidents were reported the quality assurance team shared learning from analysis of trends and patterns.

Medicines were administered and managed safely. Protocols for when required medicines (PRN) were in place for all PRN medicines and detailed how and when the medicine was to be taken.

People were involved in the planning of their care. Care plans were detailed on how staff were to deliver care and treatment in people’s preferred manner. People’s changing needs were assessed and care plans were amended accordingly. People told us the staff were kind and caring. The staff understood the importance of developing relationships with people. We saw staff communicating with people in a way they understood. When people needed support from staff we observed a discreet approach was used to offer assistance.

Staff were knowledgeable around the principles of the Mental Capacity Act 2005 and care and support was delivered in line with the Act.

People were supported to make day to day decisions such as menu choices, activities and choice of clothing. We saw good examples of staff supporting people to make choices, for example at lunch time or in how people wanted to spend their time.

Staffing levels were calculated according to people’s needs and this was regularly reviewed.

Staff received support through supervision with their line manager and team meetings where they could share good practice and discuss any day to day issues. Staff told us they received appropriate training and support to do their job well.

Quality assurance systems were in place. A programme of audits had taken place. Action plans on the areas for improvement were in place and where actions were on-going the timescale was amended.