The Inspection took place on the 24 January 2017.

Westminster House provides accommodation and personal care for up to 12 people some of whom may be living with dementia. At the time of our inspection 12 people were living at the service.

At our last inspection the service was rated as Good. At this inspection we found the service remained Good.

The service was safe. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.

The service was effective. People were cared for and supported by staff who had received training to support people to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to other health professionals were made when required.

The service was caring. Staff cared for people in a empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.

The service was responsive. People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The registered manager responded to complaints received in a timely manner.

The service was well-led. Staff, people and their relatives spoke very highly of the registered manager. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis.

People with whom we spoke all told us that they were happy living at Westminster House, the provider/manager and staff were very kind, helpful and caring and the food was good. People told us that there is always a good fried breakfast every Saturday, a roast dinner on a Sunday and fish on a Friday. People also said that people's choices were respected and you can do as you please, go to bed when you want, get up when you want and go out when you want.

One person told us "I don't like to go out, I like staying here, this is my home."

Another person told us "I can't fault anyone, they are all lovely."

During our visit we spoke with family members visiting their relatives who were using the service. One family member told us that they visited their relative three times a week every week and that their relative had been using the service for well over a year. They said that in all that time they have never had cause for concern and that their relative had always been well cared for. They told us that all the staff treated everybody with consideration, dignity and respect.

Another family member told us that they visited their relative every week, they were always welcomed by the management and staff and said that the people living in the home and the staff were like an extension of the family. They told us that the manager and staff were transparent and open and always involved them in their relative’s care.

The inspection took place on the 26 and 27 January 2015 and was unannounced.

Westminster House provides accommodation for up to 12 persons who require personal care without nursing. This includes people who need assistance with personal care and may have care needs associated with living with dementia and mental health issues. At the time of our inspection 10 people were using the service.

The service has a 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.

People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed.

People’s needs were meet due to staff having up to date information. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

People were safeguarded from the potential of harm and their freedoms protected. Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The manager was up-to-date with recent changes to the law regarding DoLS and knew how to make a referral if required.

Staff were attentive to people's needs. Staff were able to demonstrate that they knew people well. Staff treated people with dignity and respect.

People were provided with the opportunity to participate in activities which interested them. We saw that these activities were diverse to meet people’s social needs.

The service worked well with other professionals to ensure that people's health needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including a doctor, district nurse and occupational therapist.

People knew how to make a complaint; complaints had been resolved efficiently and quickly.

The service had a number of ways of gathering people’s views from talking with people, staff, and relatives and from using surveys.

The manager carried out a number of quality monitoring audits to help ensure the service was running effectively and to make improvements.