Westerleigh

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

People and relatives were involved in care planning and told us they were happy with the care provided. Care records provided adequate information, although lacked detail in some areas. Staff were aware of people’s needs and how to support them for positive outcomes. Staff were aware of how best to gain their consent. Where necessary best interests decisions had been taken in line with the Mental Capacity Act 2005.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People and relatives told us that they were involved in planning care to the level they wished to be and were involved in reviews of care. Comments included, “Everything seems to be okay, and I’m involved. If I have questions, they always answer them”

Professionals told us staff provided adequate care. Whilst most healthcare guidance and advice was followed, some professionals felt communication could be improved in this area. Staff were largely up to date with key training across a range of areas. Staff felt they had the right skills to support people, and they could seek additional advice, if they were unsure.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment or followed the required legal processes to ensure people’s right were protected.

The provider had in place effective systems to ensure that people were able to consent to care, or their relatives were effectively involved in care decisions.

At the previous inspection we were concerned that staff did not understand the requirements of the Mental Capacity Act 2005 (MCA) and how best to support people and gain their consent. At this inspection staff were able to articulate their understanding of mental capacity and understood the process of gaining informed consent or in complying with the required legislation.

Care plans indicated where people had agreed to certain care processes and, where people did not have capacity to agree, then best interests decisions were undertaken, in line with the requirements of the MCA. Where relatives held lasting power of attorney this was recorded in care plans, and they were consulted about their relation’s care and support.

People told us they were involved in care decisions, as far as they wished to be. One person told us, “I’m as independent as I want to be.” Relatives told us they were involved in care decisions and kept up to date with changes. One relative commented, “I am kept regularly up to date with issues or concerns. The staff contact me when needed but also update me when I visit.”