Westfield Nursing Home is care home providing residential and nursing care for up to 35 people, including those living with dementia or a learning disability. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

We inspected this service on 12 December 2018. The inspection was unannounced. On the day of our inspection, 35 people were using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive a safe service where they were protected from avoidable harm and abuse. People and their relatives felt safe and staff understood their responsibilities in relation to the people they cared for. Risks to people’s health and safety were assessed and interventions were put into place to mitigate those risks.

Staffing levels were planned to ensure there were sufficient staff with the right skills and experience to provide safe care that was responsive to people’s individual needs. Safe recruitment processes were in place to ensure the suitability of staff for their roles. People’s medicines were managed safely and people told us they received their medicines regularly.

The premises and equipment were well maintained and the required safety checks were completed. Processes were in place to maintain the cleanliness of the environment and equipment and to prevent and control infection.

People continued to receive an effective service. Care and support was delivered in line with good practice guidance. Staff were provided with training and development opportunities to ensure they were able to provide care that was effective and met people’s needs. People were provided with a healthy and nutritious diet and were provided with the support they needed to eat and drink sufficiently. People were supported to access health services when required and staff sought specialist advice when necessary. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in place supported this practice.

Staff treated the people they cared for with kindness and respect. Relatives commented on the positive relationships their family members had built with staff which added to their well-being and overall experience. People were involved in their care and encouraged to maintain their independence.

People continued to receive care that was responsive to their needs. Staff were proud of their personalised approach and their ability to spend time with people to enable them to spend time in the way they chose. People were treated equally, without discrimination. People were encouraged to maintain their relationships and contacts outside the home. A wide range of activities were provided, based on people’s interests and wishes.

The service continued to be well led. The registered manager provided good leadership and was respected by staff. The quality and consistency of care was monitored through the use of audits and the views of staff, people using the service and visitors was sought. Improvements were identified from the results of these activities, to facilitate the continuous improvement of the quality of the service provided.

This was an unannounced inspection carried out on 11 April 2016.

Westfield Nursing Home can provide accommodation, personal care and nursing care for 30 older people and also for people who live with dementia or who have a learning disability. There were 30 people living in the service at the time of our inspection. The accommodation was a two storey main house to which a single storey purpose built extension had been added.

There was registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff knew how to respond to any concerns that might arise so that people were kept safe from abuse including financial mistreatment. People had been helped to avoid the risk of accidents and medicines were managed safely. There were enough staff on duty to give each person the individual support they needed and background checks had been completed before new staff were appointed.

Staff had received training and guidance and they knew how to support people in the right way including making sure that people were supported to promote their continence. People had been assisted to eat and drink enough and they had been supported to receive all of the healthcare assistance they needed.

Staff had ensured that people’s rights were respected by helping them to make decisions for themselves. The Care Quality Commission is required by law to monitor how registered persons apply the Deprivation of Liberty Safeguards under the Mental Capacity Act 2005 and to report on what we find. These safeguards protect people when they are not able to make decisions for themselves and it is necessary to deprive them of their liberty in order to keep them safe. In relation to this, the registered manager had taken the necessary steps to ensure that people only received lawful care that respected their rights.

People were treated with kindness and compassion. Staff recognised people’s right to privacy, promoted their dignity and respected confidential information.

People had been consulted about the support they wanted to receive and they had been given all of the assistance they needed including people who could become distressed. People had been helped to enjoy a wide range of interests and hobbies. There was a system for resolving complaints.

Quality checks had been completed to ensure that people received the facilities and services they needed. Good team work was promoted and staff were supported to speak out if they had any concerns because the service was run in an open and inclusive way. People had benefited from staff acting upon good practice guidance.