Westgreen House

People were accommodated in one adapted building across two floors. Part of the building was closed due to building work in progress. The care home was operating as three units, one of which provided support to people who required additional support to live with dementia.

People did not always receive the care and support they required to meet their individual needs and preferences. People's care plans did not always reflect their needs.

The provider had systems in place to protect people from the risk of abuse, however, one incident was not promptly notified to CQC to ensure all relevant agencies could monitor people's safety. We made a recommendation to support external incident reporting.

The provider's quality monitoring processes had not been effective in identifying shortfalls found during this inspection.

We made a recommendation about records relating to concerns and complaints.

We were not fully assured that people were supported to have maximum choice and control of their lives. Although staff were aiming to support people in the least restrictive way possible, practices and records showed that this had not always been the case and the principles of the MCA were not always followed. Decisions made on behalf of people and in their best interests were not always clearly recorded.

People and relatives told us the staff were caring, kind, friendly and welcoming. People had access to healthcare professionals when required.

Infection, prevention and control arrangements were in place to help prevent the spread of infection. There were no restrictions in relation to visiting.