Dish confused West (4)
I believe the answer is:
stew
'dish' is the definition.
(stew is a kind of dish)
'confused west' is the wordplay.
'confused' indicates anagramming the letters.
'west' with letters rearranged gives 'STEW'.
(Other definitions for stew that I've seen before include "Cook - hash" , "A hole, a fix" , "Cook; worry" , "overheated condition" , "State of mental agitation (informal)" .)