8 September 2021
During a routine inspection
Willoughby Grange Care Home is situated in the Lincolnshire town of Boston, providing accommodation over two floors, for people who require residential and nursing care. The service can support up to 39 older and younger adults, some of who may experience memory loss. At the time of the inspection there were 36 people living in the service.
People’s experience of using this service and what we found
People living at the service and their families told us that they felt safe living at Willoughby Grange.
People received care and support from staff who were caring and knowledgeable about their needs and preferences. People were positive about their experience of receiving care at the service. Systems and processes were in place to keep people safe. Staff were aware of how to identify and report signs of abuse, and when necessary the registered manager investigated and promoted learning from events. Staff received regular supervision and training to support them in their roles. People's nutritional and health needs were well managed.
We were assured that there were processes and policies in place related to infection control and prevention. However, there were parts of the service that needed redecoration, which would lead to those areas being difficult to keep clean. The provider and the registered manager had identified this during their audits and have an action plan in place regarding maintenance of the home. There were occasions during the inspection when staff had to be prompted by the registered manager to wear their PPE in the correct manner.
Peoples medicines were managed safely in line with their preferences. There were areas of the home which needed some maintenance, making it harder to keep these areas clean. The registered manager and provider had identified this in their own audits and a refurbishment plan is in place to address this.
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 trained staff deployed in the service to meet the needs of people living at the service. The registered manager continued to recruit staff to ensure people’s needs were met. The registered manager and provider carried out sufficient pre employment checks. The service worked with other health care professionals to maintain people’s health and well-being.
People at the service were treated with dignity and respect. People were encouraged to be involved in their care. Staff used the information they had gained from talking to people and their families to care for them in a person-centred manner.
We received feedback from relatives about the positive experience their relative had received at the end of their life, whilst being supported by the service.
There was a clear complaints process in place. There were robust systems and processes in place giving the registered manager oversight of the quality of the service. The registered manager promoted an open culture, with clear consistent leadership, staff felt supported in their roles.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 4 June 2020 and this is the first inspection.
The last rating for the service under the previous provider was Good published on 19 March 2020.
Why we inspected
This was a planned inspection based on the previous rating.
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.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.