About the service
Willow Lodge Care Home is a residential care home providing the regulated activity of accommodation with personal care for up to 40 people. People had a range of care needs including frailty of age, Parkinson’s disease, people living with dementia and people with a learning disability. At the time of our inspection there were 38 people using the service. Accommodation was over three floors in one adapted building or in purpose built garden lodges.
People’s experience of using this service and what we found
People did not always receive safe support with their medicines. People told us they felt safe. A person told us, “I feel safe here and that’s important”. Relatives had no concerns about their loved one’s safety. Systems were in place to protect people from the risk of abuse and improper treatment. Staff knew how to identify potential harm and report concerns. Risks were identified and managed.
Systems and process were in place to monitor the quality of the service being delivered. These had not been effective in providing management oversight of medicines. The culture of the service was positive, and people and staff were complementary of the registered manager and provider. 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 enough staff to meet people’s needs in a timely and person-centred way. Care plans provided detailed information and guidance for staff. Staff knew people well and provided support in line with people's preferences. People and relatives told us the care people received was very good and the staff were kind, caring and compassionate.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
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 12 February 2021).
Why we inspected
The inspection was prompted in part due to concerns around the management of medicines and a notification of a serious incident. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of medicines.
As a result, we undertook a focused inspection to review the key questions of safe, responsive, and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
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 COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Willow Lodge Care Home on our website at www.cqc.org.uk.
We have identified breaches in relation to the management of medicines at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.