Westfield House

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

People's needs were assessed prior to joining the service and the provider supported people to undertake transition plans. People and their families contributed to the development of person centred care plans which were reviewed frequently. The service was working in accordance with the Mental Capacity Act and people's rights were respected.

This service scored 25 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they had a planned transition before joining the service, and their needs were assessed to ensure staff could support them effectively. Where people had been admitted in a short time frame due to their circumstances, they gave positive feedback regarding their arrival to the service and told us they had regular contact with the provider. A person told us, "I didn't get to visit the service before, but it is lovely".

Staff told us they contributed to developing and reviewing people's care plans, to ensure people's needs were up to date. Staff understood the importance of building trust with people so they could support them effectively. Staff appeared to know the people they were supporting well, and were able to describe people's needs in detail as well as what is important to them.

Before people joined the service, staff supported them to have meetings where their care needs could be discussed and initial care plans could be developed. Staff ensured people's known care needs were identified and recorded prior to admission. Staff ensured people were protected from known risks and ensured people had an opportunity to discuss their goals and aspirations in life. There was a detailed transition plan for people when moving into the service. Where people's circumstances meant they needed to join the service more quickly, we saw evidence of documented meetings and discussions to ensure their needs could be met.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

People were aware and understood the concept of the mental capacity act and the subject of consent. A person told us, "I have my family who are much involved, but everything (for a decision) comes to me first."

Staff demonstrated a good understanding of the mental capacity act and deprivation of liberty safeguards, and what this meant for people's care. Staff understood the importance of people's decision making in line with their capacity, and enabled people to make decisions and choices safely. Staff knew how and when to escalate concerns regarding consent and people's capacity to make particular decisions.

There were clear policies and procedures in place to guide staff in applying the mental capacity act safely and effectively. There were also polices and procedures regarding the mental health act, which guided staff in supporting people who may have restrictions in the area of community access. People's care plans outlined their ability to make decisions and they were supported to undertake mental capacity assessments to ensure this could be done safely.