We carried out a review of the data available to us about Moti Willow on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Moti Willow, you can give feedback on this service.
Moti Willow is a residential care home providing accommodation and personal care to nine people with mental health needs. The service can support up to 10 people.
People’s experience of using this service and what we found
People were supported to lead their own lives within a safe, kind and enabling environment. People's medicines were managed safely and those able to manage their own medicines were supported to do so. There were policies and procedures in place to help protect people from harm and staff had a good knowledge of safeguarding processes.
People's needs were fully assessed, and their support plans regularly reviewed and updated. This included the assessment and management of risks to people’s health, safety and wellbeing. People were supported to access a range of health and social care services and input from relevant professionals was included in support plans.
People were supported by caring, friendly staff who knew their needs well. Staff felt supported in their roles and were well trained. There were sufficient numbers of staff to meet people's needs and safe recruitment processes were followed.
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.
There were systems in place to monitor the quality and effectiveness of the service being delivered. An improvement plan had been developed from quality assurance checks, audits and feedback received about the service from a variety of sources. The registered manager kept up to date with guidance and, along with the provider, placed a strong emphasis on individual learning and development.
The ethos of the service was promoting recovery, inclusivity and independence. Strong partnerships had been made with local community services and health practitioners to ensure good outcomes for people.
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 3 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
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.
Moti Willow is registered to provide accommodation and personal care for up to seven people with Mental Health needs. At the time of our inspection six people were living at the home.
There was a registered manager in post who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People told us they felt safe at the home and they appreciated the support they received from staff which met their needs. People received support from staff who had been appropriately trained and were knowledgeable in how to protect people from abuse. Staff knew how to report concerns and were able to tell us when they would report under the whistleblowing policy to the local safeguarding authority or the CQC.
People, if they were able to independently organised their leisure activities, where people were not able to staff helped people do the activities they liked. People were also visited by a `service user empowerment team` employed by the provider to support people who lacked motivation to engage in any social activities on a one to one basis.
Risks associated with daily activities and people`s mental health needs were well known by staff who were able to effectively support people and mitigate risks. However care records needed further development to evidence all the risks identified and the care and support people needed. This had been identified by the registered manager and the provider and there were plans in place to address this issue.
People were involved in review meetings with their key worker where they discussed different aspects of their care needs. The care plans contained personal information about people, medical history and appointments, care reviews and incident reports. People, if they were able to signed their care plans and reviews to show they agreed with the care and support they received.
There were sufficient staff to meet people`s needs at all times. The registered manager was recruiting to build a permanent staff group, however the agency staff used to cover the available staffing hours worked at the home on a regular basis and had a very good understanding of people`s needs.
Recruitment processes were thorough and helped to ensure staff employed were of good character and fit to support people with complex mental health issues. Permanent and agency staff working at the home received an induction and on-going training and had regular supervision with the registered manager.
Accidents and incidents were recorded and information was sent to the provider`s head office as well. The registered manager told us they investigated incidents or accidents and they looked for trends or patterns.
People were supported to have their medicines safely by appropriately trained staff who`s competency to administer people`s medicines was regularly checked.
People were supported to cook their own food and they were encouraged to eat a varied and nutritious diet and to drink sufficient amounts to maintain their health. People were able to access health care professionals, such as GPs as and when required, staff supported people to attend hospital appointments when needed.
People had access to the complaint procedure and this was explained to them in the regular meetings they had. People were confident that if they had to raise any issues staff would be receptive to their concerns.
People`s dignity and privacy was respected; people had keys to their bedrooms and staff were seen knocking and giving people time to respond and invite them in before they entered people`s personal space.
There were several audits carried out by the registered manager and the provider. They looked at areas such as infection control, health and safety, medicines management, supervisions, care reviews, activities and others. There was a service improvement plan in place to address all the areas the audits highlighted as needing improvement. When completed these were signed off, however the provider periodically re-visited all the areas of the service delivery, to help ensure a good quality standard was maintained across the service.
There were six monthly surveys sent out to people, relatives, staff and health and social care professionals by the provider to help monitor the quality of the service provided.
Moti Willow is registered to provide accommodation and personal care for up to 7 people with Mental Health needs. At the time of our inspection 7 people were living at the home.
There was a manager in post who was in the process of registering with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People were independently organising their leisure activities, they had regular visits to local shops and their family. There were also activities provided in the home or other locations owned by the provider for people to participate in. The manager told us they were discussing with people what activities they wanted the service to organise and support them with. There were workshops organised for people to learn about their rights, hygiene and healthy eating.
Risks associated with daily activities and people`s mental health needs were identified however there were no clear plans how to manage and mitigate these. Agency staff working regularly at the service were not knowledgeable about the signs and symptoms in case people had a relapse in their mental health conditions.
People were involved in review meetings with their key worker where they discussed different aspects of their care needs. The care plans contained personal information about people, medical history and appointments, care reviews and incident reports, there were no detailed plans about how people communicated, risk assessments and personalised plans around the support needs for people`s mental health needs.
Accidents and incidents were recorded and information was sent to the provider`s head office as well. The manager told us they were investigating incidents or accidents and they were looking for trends if it was a need for it.
The manager told us they were encouraging people to be independent and in control of their life. People told us they were encouraged to participate and help in daily tasks, cooking, setting tables, laundry, keeping their bedroom tidy, however there were no plans developed to ensure staff had a systematic and consistent approach when supporting people to become more independent. People had no clear goals for them to achieve and monitor their progress.
People received support from staff who had been appropriately trained and were knowledgeable in how to protect people from abuse. Regular staff knew how to report concerns and were able to tell us when they would report under the whistleblowing policy to the local safeguarding authority or the CQC. However agency staff who was regularly working at the service had not received training about the mental health conditions people lived with.
People were supported by appropriate numbers of staff, some of which were agency staff. The manager had been recruiting to build up a permanent staff team to ensure people were supported by a permanent staff and received consistent support.
Recruitment processes were thorough and ensured staff employed were of good character and fit to support people with complex mental health issues. They received an induction and on-going training and had regular supervision with the manager.
People were supported to have their medicines safely by appropriately trained staff who`s competency to administer people`s medicines was regularly checked.
People were supported to cook their own food and they were encouraged to eat a varied and nutritious diet and to drink sufficient amounts to maintain their health. People were able to access health care professionals, such as GP’s as and when required, staff supported people to attend hospital appointments when needed.
People had access to the complaint procedure and this was explained to them in the regular meetings they had. People were confident that if they had to raise any issues staff would be receptive to their concerns.
People`s dignity and privacy was respected; people had keys to their bedrooms and staff was seen knocking and giving people time to respond and invite them in before they entered people`s personal space.
There were several audits carried out by the manager monthly and six monthly by the provider and they looked at areas like infection control, health and safety, medicines management, supervisions, care reviews. A quality survey had been sent out to people, relatives, staff and health and social care professionals. The service only received the results from people who used the service at the time of our inspection.