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Inspection Summary

Overall summary & rating


Updated 28 June 2019

About the service.

Willoughby House is a residential care home that was providing personal care to seven people at the time of the inspection. The service can support up to eight people with a learning disability or autistic spectrum disorder.

The care home accommodates people in one adapted building and all bedrooms are single occupancy with their own bathroom facility. People share the lounge, dining room, kitchen and garden. The size of service meets current best practice guidance. This promotes people living in a small domestic style property to enable them to have the opportunity of living a full life.

People’s experience of using the service and what we found.

People were safely supported and protected from harm. This was because safeguarding systems and ways of managing risk were carried out well. There were sufficient numbers of suitable staff employed who managed medicines safely and followed good infection control and prevention practices to protect people from harm. Staff learnt lessons when problems arose.

People’s needs were effectively met. This was because their needs were assessed and staff were suitably trained to support people with mobility, nutrition and health care, as well as any diagnosed conditions. People lived a comfortable life because the premises were suitably designed to meet their needs.

The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied. The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways: promotion of choice and control, independence, inclusion and engagement in the community. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Staff worked consistently well with other healthcare professionals. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s equality, diversity, privacy, dignity and independence were respected. Their views on their care and support were listened to. They were supported by caring and compassionate staff and so their lives were pleasant.

Staff provided personalised care, which meant people experienced good support. This was achieved by producing and following person-centred support plans. People’s communication needs were well met using systems and good practice. Their concerns were satisfactorily addressed because complaints were responded to and well managed. People were assured a good end of life experience when the time came.

The registered manager promoted a positive culture among the workforce. They and the staff team understood and acted on their duty of care responsibilities to be open and honest. Staff were clear about their roles, monitored people’s changing needs and sought to improve the care people received. They engaged and involved people in deciding what care they were given and how. Partnership working was well established with other organisations or agencies for the benefit of people that used the service. All of this meant people experienced a well-run service where their needs were met.

For more details, please see the full report which is on the Care Quality Commission website at

Rating at last inspection.

At the last inspection the service was rated good (published 26 November 2016.)

Why we inspected.

This was a planned inspection based on the previous rating.

Follow up.

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning informat

Inspection areas



Updated 28 June 2019

The service was safe.

Details are in our Safe findings below.



Updated 28 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 28 June 2019

The service was caring.

Details are in our Caring findings below.



Updated 28 June 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 28 June 2019

The service was well-led.

Details are in our Well-Led findings below.