Willesden Court

Updated 5 June 2021

The inspection

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.

Inspection team

The inspection visit was carried out by one inspector.

Service and service type

Willesden Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The service has a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. This information helps support our inspections. We reviewed the last inspection report and information we had received about improvements made. We also reviewed information received from the local authority and the local authority infection control team. 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.

During the inspection

We visited the communal areas and some bedrooms. We spoke with two people who used the service, two relatives, a healthcare professional, the registered manager, two nurses, two care staff, the receptionist, an activities organiser and maintenance person. We reviewed a range of care records and records related to the running of the service. These records included five people's care files, medicine administration records and four staff recruitment records. We also looked at policies and procedures, checks and audits carried out.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We also received feedback about the service from two social care professionals and the local authority infection control team.

Updated 5 June 2021

About the service

Willesden Court is a nursing home registered for a maximum of 60 people. It is managed by Methodist Homes, a large social care provider in England. People using the home may require nursing or personal care or have dementia. The home is located close to shops and transport links. At the time of our visit, there were 46 people living in the home.

People’s experience of using this service

People were safe in the home. Risks to people’s health and wellbeing had been carefully assessed. There was detailed guidance for staff on how to minimise risks to people.

Arrangements were in place to protect people from abuse. Staff had received training on how to safeguard people from abuse and were aware of the procedure to follow if they suspected that people were subject to abuse.

People received their prescribed medicines. The home had suitable arrangements for the safe administration of medicines.

There were sufficient numbers of staff to attend to people’s needs. Staff had been carefully recruited and essential pre-employment checks had been carried out.

The home was well maintained, clean and tidy. The service had taken measures to help prevent and control the spread of COVID -19 and other infections. There was a record of essential maintenance carried out. Fire safety arrangements were in place.

Staff understood their obligations regarding the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The service was well managed. Management and senior staff monitored the quality of the services provided via regular checks and audits. The results of the last satisfaction survey indicated that people and their representatives were highly satisfied with the care and services provided.

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 January 2020). At this inspection we found the provider remained good.

Why we inspected:

We received concerns in relation to safeguarding people from the risk of abuse and their safety. As a result, we undertook a focused inspection to review the key questions of safe, and well-led. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained as good.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Willesden Court on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

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.