Willowbrooke Residential Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People and their relatives felt they had been involved in developing their/their loved one’s care plan. One relative said, “I helped to do [persons] care plan when they moved in, and it regularly gets reviewed as their health and medication has changed.” Staff told us that management and peoples relatives were involved in creating peoples care plans.

People had appropriate assessments in place in their care plans. Care records were detailed, and people’s needs were being appropriately assessed, reviewed and monitored.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People and their relatives said they received enough to eat and enjoyed the food. One person said, “I like it (the food), and we get plenty to eat.” Whilst one relative said, “The food is super, [person] is well fed, and they have put some weight on and looks much healthier.” People had appropriate nutritional care plans and risk assessments in place. We found some examples of necessary referral processes should anyone need clinical support.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People and their relatives felt services worked together. One relative said, “Yes, they get the doctor [person] has a (medical need), and they are proactive in getting them (medications for this). The optician comes to the service [person] saw them today; I take them to the dentist; the carer came with me.”

Staff spoke about how they were told when people’s needs change including at handover, and we saw evidence of handover records. Health professionals told us they felt they had a good handover of information. We saw evidence of the management working with other services to try and drive improvement.

Emergency transfer sheets were in place, which held relevant information for each person. These were documents that would be sent with a person if they needed prolong external support, for example, if a person was sent to hospital. These documents help to ensure the hospital was aware of (and could meet) people's needs on admission.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People had access to healthcare support when they needed it, and staff spoke about how they monitored and recorded people’s health requirements. Care records supported these findings.

The service routinely monitored people’s care and treatment to continuously improve. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The registered manager told us how they reviewed and monitored people’s care. They spoke about how people’s weights are monitored, they said, "We do weights weekly. Our auditor (care solve) picks this up (in their checks of the service) as well if there is weight loss." Some relatives spoke about improvement in areas such as falls and people’s weights since joining the service.

Appropriate tools were in place to manage people’s weights and skin integrity. People’s care plans were being regularly reviewed.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

People told us that staff asked for consent before delivering care. One person told us, “Yes, they do (ask for consent).” Staff said they ask for consent before delivering care, one staff member said, "I always people ask before I do anything”. Appropriate consent forms were in place to confirm people had agreed to their care.