OSJCT Willowcroft

Updated 21 May 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by one inspector.

Service and service type

OSJCT Willowcroft is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. OSJCT Willowcroft is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we reviewed the information we held about the service and the service provider. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We used all of this information to plan our inspection.

During the inspection

We spoke with nine people to gather their views about the care they received. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We looked at five people’s care records. We checked recruitment, training and supervision records for staff and looked at a range of records about how the service was managed. We also spoke with the registered manager, head of care, area manager and five care staff.

After the inspection

We spoke with three relatives by phone. We received feedback from two health professionals by email.

Updated 21 May 2022

About the service

OSJCT Willowcroft is a residential care home providing accommodation and personal care for up to 42 people. The service provides support to people who are living with dementia. People live over two floors in a purpose-built building. The home is separated into households and people share the use of lounge, dining and entertainment space. At the time of our inspection there were 36 people using the service.

People’s experience of using this service and what we found

The registered manager had taken action to keep people safe and manage the risks they faced. This included action to ensure staff were aware of their responsibility to promptly report incidents, in line with the provider’s procedures. Staff demonstrated a good understanding of the action they needed to take to keep people safe.

People said they felt safe living at Willowcroft and received good support. People told us there were enough staff to provide the care they needed, and they were supported to take the medicines they were prescribed on time. People and their relatives were confident any issues they raised would be addressed by the registered manager.

The home had good infection prevention and control procedures in place. Procedures had been reviewed and updated to reflect the COVID-19 pandemic. Systems were in place to prevent visitors catching and spreading infections.

The registered manager had developed good relationships with health and social care professionals and worked with them to meet people’s needs.

The management team regularly assessed the quality of the service provided and had systems in place to make improvements.

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.

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 5 November 2020)

Why we inspected

We received concerns in relation to the management of injuries and incidents. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating.

The overall rating for the service has remained good, based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for OSJCT Willowcroft on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.