- Care home
Southampton Manor Care Home
This care home is run by two companies: Willow Tower Opco 1 Limited and Willowbrook Healthcare Limited. These two companies have a dual registration and are jointly responsible for the services at the home.
Report from 23 November 2023 assessment
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
The provider had suitable amounts of appropriately trained staff in place. Some people told us they experienced extended waiting times when calling for staff’s assistance, the provider was putting measures in place to make improvements to staff response times. The provider had safe systems in place around the storage of people’s medicines. However, we identified areas where the provider could make improvements around care planning, such as developing guidance around people’s specific medical conditions. The provider was responsive to feedback and was in the process of making improvements. People were kept safe from the risks of suffering abuse or coming to avoidable harm, the provider’s policies and processes supported this. Risks related to people’s care were assessed and measures were put in place to reduce them.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe systems, pathways and transitions
We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safeguarding
People told us they felt safe living at the service. Comments included, “[I feel] very safe. The carers are exceptional”, and “There’s nowhere better for someone to live.” They told us that staff were approachable and would take the time to listen to their concerns to give them comfort and reassurance. One person commented, “There’s somebody here all the time and you can call them day and night.”
Staff had a good knowledge of safeguarding policies and procedures and were confident in their abilities to identify and act upon any concerns. Comments included, “If something is wrong [I would] report, review and take action [to keep people safe].” The provider investigated safeguarding concerns and shared learning with staff to help promote good practice. Staff confirmed they had received training in The Mental Capacity Act (2005) and understood the importance of minimising any restrictions to people.
There were effective processes to support staff in reporting concerns, including safeguarding training, policies and procedures. The provider had reported safeguarding alerts to relevant health and social care professionals. The provider had processes to assess people’s capacity to make decisions about their care and treatment. This ensured that any restrictions to people were minimised and subject to the appropriate legal authorisation.
Involving people to manage risks
We observed that staff had a good knowledge of people’s needs and understood risks related to people’s care. We observed good practice when staff supported people with their mobility, using equipment appropriately to promote people’s safety.
People and their relatives were positive about how staff helped them to manage any risks related to their care. Comments included, “Any potential risks and dangers are pointed out to my parents and myself and ways of avoiding any accidents are discussed and explained.”
Staff had a good knowledge of assessing and managing risks related to people’s care. They understood where to find guidance to support safe working practices and when to escalate concerns to senior staff if risks increased. Staff had received training to support people with their specific health conditions or when they required support using specialist equipment, such as hoists. This helped to keep people and staff safe.
There were risk assessments in place to reduce risks related to people’s care. These were regularly reviewed in response to incidents or changes to people’s health or medical conditions. There was consistent management oversight into monitoring risks related to falls, pressure sores and the use of equipment. This helped to promote positive outcomes for people in relation to their health, safety and wellbeing.
Safe environments
We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe and effective staffing
People were positive about the staff, telling us they were helpful and competent in their roles. Comments included, “They look after me extremely well”, and ‘I’m quite happy here. The staff are very good.” However, people had experienced issues with call bell waiting times when calling staff for support. They felt that staff did their best to respond quickly to their requests, but this was not always possible due to them being busy.
The provider had safe and effective processes in place to ensure staff received appropriate ongoing training, supervision and had their competency regularly assessed. Records showed these were all completed in a timely fashion. There were safe recruitment policies and procedures in place to help ensure suitable staff were employed to work with people. The provider had effective systems to monitor staff levels and had recently increased staffing numbers due the growing number of people living at the service.
We observed that staff were competent and motivated in their role. They were confident when supporting people and provided a good standard of care. We observed that staff were busy in their role and worked hard to ensure people were attended to in a timely manner.
Staff were positive about the training and support they received in their role. However, they told us that they had experienced difficulty answering the volume of call bells in relation to people’s non-emergency requests for support. The registered manager and the provider’s senior management was responsive to feedback around issues raised about call bells. They were in the process of implementing changes to make improvements in this area.
Infection prevention and control
We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.
Medicines optimisation
Staff told us they had received training in the safe management of medicines. They had a good knowledge of the support people required to manage their medicines. The registered manager had a good oversight of the systems around medicines management. They had recognised where improvements were needed in some people’s medicines administration guidance and were working with the prescribing pharmacy to update people’s records.
The provider had safe systems in place to store medicines in line with requirements. We identified where some improvements were required in planning for people’s long term health conditions, guidance around people who self-administer medicines, and guidance around medicines administration. These issues did not impact people’s health or wellbeing and the provider was responsive to our feedback to begin to make improvements needed.
People told us they received their medicines on time and as required. Comments included, “They bring it [medicines] to me when I need it” and, “I always have what I need and when I need it.