Background to this inspection
Updated
22 July 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 27 June 2017 and was unannounced. The inspection was carried out by one inspector.
Before our inspection we looked at information we held about the service including notifications. A notification is information about important events which the provider is required to tell us about by law.
The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make. We reviewed the information to assist us with our planning of the inspection.
During the inspection we spoke with four people who used the service. We spoke with the registered manager, care manager and two staff.
We looked at four people’s care records, quality assurance surveys, staff meeting minutes and medication administration records and audits. We checked records in relation to the management of the service such as staff training records. We saw a copy of the Cambridgeshire County Council Contract Monitoring Report.
Updated
22 July 2017
Willowbank is registered to provide personal care to people living in their own flats within an extra care scheme in Cambridge. At the time of our inspection a service was being provided to older people, people living with dementia, people living with mental health conditions and people living with physical disabilities or sensory impairment. There were 20 people receiving personal care from the service. There were seven care staff employed at the time of this inspection.
This comprehensive inspection took place on 27 June 2017 and was unannounced.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The provider's policy on administration and recording of medication had been followed by staff. People had their medication administered as prescribed. Audits in relation to medication administration had been completed and were robust, as they identified where areas of improvement were required.
People had had their needs assessed and reviewed so that staff knew how to support them and maintain their wellbeing. People's care plans contained person centred information. Staff treated people with care and respect and made sure that their privacy and dignity was respected all of the time.
There was a system in place to record complaints. These records included the outcomes of complaints and people were satisfied with the outcomes.
Staff understood the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions. Training had been provided by the service and staff were aware of current information and regulations regarding people’s consent to care. This meant that there was a reduced risk that any decisions, made on people's behalf by staff, would not be in their best interest and as least restrictive as possible.
The provider had a recruitment process in place and staff were only employed in the service after all essential safety checks had been satisfactorily completed. Training was available for all staff which provided them with the skills they needed to meet people’s health and wellbeing requirements.
People were involved in how their care and support was provided. Staff checked ensured people’s health and welfare needs were identified and acted on where necessary. People were supported to access health care professionals when they needed them. People were provided with a choice of food and drink.
People and staff were able to provide feedback and information. There were systems in place to monitor and audit the quality of the service provided. Audits were effective and this meant that the provider was able to drive forward any necessary improvements.
Staff meetings, supervision and individual staff appraisals were completed regularly. Staff were supported by the registered manager and care manager during the day. An out of hours on call system was in place to support staff, when required.