We carried out a review of the data available to us about Three Willows Residential Care Home 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 Three Willows Residential Care Home, you can give feedback on this service.
We found the following examples of good practice.
¿ The provider had appropriate arrangements for visiting to help prevent the spread of infection. Visitors were supported to wear a face covering when visiting. The service had a room available for visitors to put on and remove PPE. The room also had an en-suite so people could wash their hands. Hand washing facilities, signage of infection control procedures and hand sanitizer stations were available near the entrance and throughout the care home.
¿ The provider had appropriate arrangements to test people and staff for COVID- 19 and was following government guidance on testing. This ensured that people and staff were tested for COVID- 19 in a consistent way in line with national guidance.
¿ The provider ensured that staff received appropriate training and support to help prevent the spread of infection. All staff had received training on infection control and the use of PPE. Staff were assigned to work at the one location to help minimise the risk of cross infection. Staff wellbeing was supported if they became unwell and when they returned to work.
¿ The provider ensured that people using the service could maintain links with family members and friends. People were supported to have visits from their relatives and friends in a designated area in the garden, during the summer, where social distancing was observed. Family members and friends who were unable to visit the home could stay in touch with people with window visits, and phone and video messaging. The provider understood the communication needs of people.
Further information is in the detailed findings below.
Three Willows Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Three Willows Residential Care Home provides accommodation and care to up to 21 people. At the time of our inspection 21 people were living in the home. Care is provided across two floors with their own communal area on the ground floor. The service specialises in providing care to older people who are living with dementia.
There was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission 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 2008 and associated Regulations about how the service is run.
People and their relatives told us they felt safe with staff and there were enough staff to meet their needs. Staff were trained in safeguarding and knew how to safeguard people against harm and abuse. People’s risk assessments were completed, regularly reviewed and gave sufficient information to staff on how to provide safe care. Staff kept detailed records of people’s accidents and incidents. Staff wore appropriate protective equipment to prevent the risk of spread of infection. Thorough recruitment checks were completed to assess the suitability of the staff employed. Medicines were stored and administered safely. The home environment was clean.
Staff knew people’s individual needs and were provided training to meet those needs. Staff told us they felt supported by the registered manager and received regular supervision. People were supported to meet their dietary needs and told us they liked the food. Staff assisted and supported people to access ongoing healthcare services to maintain healthier lives. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. Staff understood people’s right to choices and asked their permission before providing care.
Staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). MCA and DoLS is law protecting people who are unable to make decisions for themselves or whom the state has decided their liberty needs to be deprived in their own best interests.
People’s needs were assessed and met in a personalised manner. Care plans were in place which included information about how to meet a person’s individual and assessed needs. People’s cultural and religious needs were respected when planning and delivering care. Staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.
The service had a complaints procedure in place and we found that complaints were investigated and where possible resolved to the satisfaction of the complainant.
The service had an end of life policy for people who used the service. The service explored end of life wishes during the initial needs assessment and care planning.
People, relatives, and staff told us the registered manager was supportive and available in the service. The service had various quality assurance and monitoring mechanisms in place.