19 March 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was completed by one inspector.
Service and service type
Willoughby Grange Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since our last inspection and sought feedback from the local authority.
We used all of this information to plan our inspection.
During the inspection
We spoke with six people using the service, a relative and two visiting professionals. We spoke with five members of staff including the registered manager, three care staff and a housekeeper. We reviewed a range of records including three people’s care records. A variety of records relating to the management of the service were also reviewed.
After the inspection
We reviewed additional information provided by the registered manager including staff rosters and training records.
19 March 2020
About the service
Willoughby Grange Care Home is a is a nursing home and was providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The service can support up to 38 people. The accommodation was on two floors. The ground floor that was called the 'Garden Suite' was reserved for 10 people who lived with dementia.
People’s experience of using this service and what we found
People were positive about the service and the care provided. A person said, “I am very happy living here” and another person said, “I couldn’t find a better place.” They said they felt safe at the service and staff looked after them well.
Staff were aware of the actions needed to protect people from abuse and avoidable harm. There were sufficient staff employed to enable people’s needs to be met and they completed regular training to ensure they were up to date with best practice. Appropriate systems were in place for the management and administration of medicines.
Staff were knowledgeable about the care and preferences of the people they supported and treated them with kindness and respect. When people were reaching the end of their life, staff provided individualised, compassionate care.
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.
The registered manager provided clear and consistent leadership and staff felt well supported. The registered manager and the provider had systems in place for monitoring the quality of care provided and for continuously improving the service provided. People were involved in decision making and staff collaborated well with other agencies.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 6 October 2017).
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.