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Creative Support - Willowtree House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 March 2020

About the service

Creative Support – Willowtree House is a residential care home providing personal care for up to six people in one adapted building. It specialises in supporting people who have learning disabilities and or autism. At the time of our inspection, there were five people living at the home.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The provider's quality assurance systems and processes were not always effective at identifying concerns and driving improvement in the service. Systems that were in place were not implemented effectively and audits had not identified concerns with the service.

Environmental risk management and infection control procedures were not sufficient. Staff had not consistently followed the provider’s systems and processes to assess and minimise environmental risks to people.

Not all staff had received mandatory training. Training had not always been refreshed at the timescales identified by the provider.

Safe recruitment procedures were followed. There were enough staff available to meet people’s support and activity needs.

People were supported to eat a balanced diet that met their needs and any associated risks were managed with appropriate specialist input. Staff worked effectively with community health and social care professionals to achieve positive outcomes for people and ensured their health needs were met.

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 interest. Policies and systems were in place; however, staff practice did not always follow policy in relation to the recording of mental capacity assessments and administration of Deprivation of Liberty safeguards (DoLS).

Staff knew the people they supported well and adopted a caring approach towards their work. People were treated with dignity and respect.

People's care plans were individual to them, covered key aspects of their care needs and promoted a person-centred approach. People had support to participate in a range of social and recreational activities.

People and their relatives understood how to raise any concerns or complaints with the provider.

The management team promoted effective engagement with people and their relatives. Staff felt well-supported and valued. People were encouraged to express their views about the care provided, and these were listened to.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 8 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to environmental risk management and the governance of the service at this

Inspection areas

Safe

Requires improvement

Updated 26 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 26 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 March 2020

The service was not always well-led.

Details are in our well-led findings below.