Last updated: 10 February 2026
"Enough staff with the right skills and strong safety practices, but inconsistent leadership and unstructured activities hold it back."
Proactive safety culture; risks well managed with detailed assessments; medicines safely managed; improvements from previous breaches embedded.
Staff felt Westmead was a good place to work, communication and management had improved, voice heard; but mixed staff survey and some staff spoke poorly about people.
'There were enough staff with the right skills, qualifications and experience.' One staff member told us, 'There is enough staff.'
Registered manager implemented workshops for staff on individual care needs; staff trained and competent in medicines; bought-in training for specific conditions.
Well-led requires improvement; 'the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.'
Mixed relative feedback on activities, e.g. 'Not aware of any activity plan and [person] does not have enough to do'; basic outings, community access, jigsaws.
Leadership is improving after special measures but still inconsistent with oversight gaps like late appraisals.
Well-led requires improvement; 'management and leadership was inconsistent'; appraisals not always completed in time.
No structured activities programme or coordinator so the role is mostly routine care with basic outings.
Mixed feedback from relatives; 'Not aware of any activity plan and [person] does not have enough to do.'
Some staff still speak about people in unhelpful ways despite training efforts.
Observed examples when staff spoke about person’s communication and behaviour not centred around needs; ongoing work to improve staff culture.
AI Generated
Last inspected: April 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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