Inspection on 02/09/09 for Willow Brook House
Also see our care home review for Willow Brook House for more information
This inspection was carried out on 2nd September 2009.
CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
People who use the service and relatives spoken with were appreciative of staff and were grateful of the care and help they gave them. Staff spoken with all told us that they wanted what was best for the people using the service. Visiting arrangements are flexible and staff had developed good relationships with peoplesâÄô friends and families. We have identified the need for management and staff to have more training and a better understanding of safeguarding vulnerable adultsâÄô procedures. It is important though, to note that there have been some instances where appropriate referrals have been made and action taken to safeguard people who use the service.
What has improved since the last inspection?
There have been improvements in the recruitment process. We found that the necessary criminal record bureau clearances and references had been obtained before people started work.
What the care home could do better:
A more detailed assessment of peoplesâÄô needs prior to inspection would help to ensure that the right information is used to plan peoples care. Based on the information in these detailed assessments care plans need to be in place for everyone using the service to guide staff in the actions they need to take to meet peoples care needs safely and fully.Willow Brook HouseDS0000065185.V377527.R01.S.doc Version 5.2 Management and staff need to have a better understanding about the importance of people receiving prescribed medication and their responsibilities to ensure they consistently do. There needs to be more staff awareness of the need to consult with health professionals such as General Practitioners regarding matters affecting peoplesâÄô health such as the absence of prescribed medication. Better and simpler record keeping systems, which staff understand and use consistently, would help management and staff maintain a better overview of peoples health. This should identify things more easily such as an increase in falls, which would enable referrals to be made to appropriate health professionals such as a falls advisor. Managers need to be familiar with safeguarding vulnerable adultsâÄô procedures and their responsibilities to ensure they are consistently followed and all allegations are followed up. More care and attention to the premises is needed to make sure that all areas have a good standard of dÃ©cor, cleanliness and that all equipment is maintained and in working order. Staff all need to have training to help ensure that they know what is expected of them and that they are supported by having all the necessary skills and knowledge to meet peoplesâÄô needs. The findings of this inspection, the continued breaches of regulations and risks to people using the service have identified serious concerns about the management and oversight of Willowbrook House. This highlights the need to establish why these concerns were not identified by the organisations monitoring systems. Improved management and monitoring systems need to be put in place to reduce the risk and improve outcomes for people who use the service.