9 January 2024
During a routine inspection
Willow Brook House is a nursing home providing accommodation and personal care to up to 43 adults. The service is comprised of one building over two levels. At the time of inspection there were 17 people living at the service with dementia, mental health and physical needs.
People’s experience of using this service and what we found
Risks to people’s care had been identified but the measures in place to mitigate those risks were not always consistently applied. Any deterioration in people’s health was not easily identifiable, the provider was in the process of developing a handover document to ensure all nursing staff were easily and fully appraised of people’s current health condition.
People’s care plans were basic and improvements were needed to ensure staff had all the information they needed to fully support people in the way they wished and provide them with more person centred activities.
The systems in place to monitor the quality and safety of the service needed to be improved, embedded and sustained to be able to fully assessed.
There were sufficient staff who had been recruited safely and had the training and skills to meet people’s needs. People were protected from harm and received their medicines safely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff were kind and caring and treated people with respect. People’s dignity was protected and they were involved in decisions about their care. Staff knew them well and responded well to people.
People, their relatives and staff felt listened to. Any complaints raised had been investigated and responded to. Staff felt able to speak up and had confidence in the new management team.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 11 August 2023) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 10 August 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.