# Care and Support Service - Westbury Fields *Operated by The Council of St Monica Trust.* Care and Support Service - Westbury Fields is a CQC-regulated home-care agency in Bristol. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Good | | Safe | Good | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Good | Rating published: 15/02/2020 ## Practical info - Postcode: BS10 6TW - Local authority: Bristol, City of - Region: South West - City: Bristol - Last CQC check: 15/Feb/2020 - 00:00 ## Inspection findings ### Other - Finding - Evidence: People had access to a wide range of activities, monthly day trips, and on-site restaurant facilities supporting independent living. - Published: 2021-01-30 - Finding - Evidence: Quality assurance systems included care and support audits, staff competency monitoring, and an annual internal service review. - Published: 2021-01-30 - Finding - Evidence: Person-centred care records included 'This is Me' documents capturing life history, social circumstances and individual preferences. - Published: 2021-01-30 - Finding - Evidence: Complaints were handled promptly and effectively, with five formal complaints in 2014 all resolved within required timescales. - Published: 2021-01-30 - Finding - Evidence: Staff demonstrated good understanding of the Mental Capacity Act 2005 and consent procedures. - Published: 2021-01-30 - Finding - Evidence: Staff received regular training, supervision every three months, and annual appraisals with personal development plans. - Published: 2021-01-30 - Finding - Evidence: Medicines were managed safely with individual risk assessments and auditing systems in place while promoting people's independence. - Published: 2021-01-30 - Finding - Evidence: People felt safe and praised the caring nature of staff, with positive feedback from relatives and visitors throughout the inspection. - Published: 2021-01-30 - **care_planning** _(minor)_ - Evidence: we found one care record that showed the service had not recorded that a review of a person's needs had been undertaken since their discharge from hospital. - Published: 2021-01-30 - **governance** _(critical)_ - Evidence: The provider had failed to notify the Commission of a serious injury sustained by a person who used the service. - Published: 2021-01-30 - Finding - Evidence: Accidents and incidents regularly audited for trends and learning shared with staff team. - Published: 2020-02-15 - Finding - Evidence: End of life care links established with local hospice and John Wills House. - Published: 2020-02-15 - Finding - Evidence: Provider engaged people and families through meetings, questionnaires, social events and a residents' council. - Published: 2020-02-15 - Finding - Evidence: Strong leadership with an approachable registered manager and positive staff culture including Carer of the Month awards. - Published: 2020-02-15 - Finding - Evidence: Effective communication with health and social care professionals ensured joined-up care. - Published: 2020-02-15 - Finding - Evidence: Staff received regular supervision, mandatory training including safeguarding, MCA, dementia and food hygiene. - Published: 2020-02-15 - Finding - Evidence: Medicines managed safely with accurate MAR records and staff trained in medicines administration. - Published: 2020-02-15 - Finding - Evidence: Safe recruitment processes in place including DBS checks, references and full employment history. - Published: 2020-02-15 - Finding - Evidence: Risks were well assessed and managed, with person-centred approaches to risk including respecting individual choices. - Published: 2020-02-15 - Finding - Evidence: People felt safe and staff were described as kind, dignified and respectful, with a consistent team supporting them. - Published: 2020-02-15 - **care_planning** _(minor)_ - Evidence: care plans did not always contain enough information for staff to know about people's background, interests and preferences...there was no information on how staff should support a person when they were depressed - Published: 2020-02-15 - **care_planning** _(moderate)_ - Evidence: some care plans contained basic information relating to people's individual support and care needs. This meant staff did not have sufficient guidance on how to support people with specific health needs such as using their oxygen. - Published: 2020-02-15 - Finding - Evidence: Feedback from people, families and social care professionals was uniformly positive about the caring and professional nature of staff. - Published: 2017-05-25 - Finding - Evidence: No agency staff were used; a bank of St Monicas staff covered gaps, maintaining consistency of care. - Published: 2017-05-25 - Finding - Evidence: Registered manager demonstrated strong leadership and ongoing professional development including management and leadership qualification. - Published: 2017-05-25 - Finding - Evidence: Comprehensive quality assurance programme including external consultant reviews, trustee assurance visits and regular internal audits. - Published: 2017-05-25 - Finding - Evidence: End of life care was recognised externally, with the senior care worker winning a Care and Southwest award for 'Quality End of Life Care' in 2016. - Published: 2017-05-25 - Finding - Evidence: People were treated with dignity and respect; staff knew individuals well and supported independence and personal choice. - Published: 2017-05-25 - Finding - Evidence: Care plans were detailed, individually devised, regularly reviewed and co-signed by people using the service. - Published: 2017-05-25 - Finding - Evidence: Medicines administration was tightly controlled with training, spot checks, monthly audits and re-training where discrepancies were found. - Published: 2017-05-25 ## Source Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-126473607 HomeCare Compass is an independent guide and is not affiliated with the CQC.