Willows Court

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff completed assessments with people prior to admission which formed the basis of care plans. These were regularly reviewed with people and those important to them. A relative told us, “I was fully involved in the assessment. “I felt listened to. Staff made a very detailed plan to meet [Name of family member] needs. Staff call me every 5 or 6 weeks to say they’re updating the care plan and ask if there’s anything we need to change.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. For example, staff ensured people’s medicines were monitored and reviewed regularly in line with best practice and followed advice and guidance from health professionals to support people who experienced distress.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Senior staff were knowledgeable and responded to changes or concerns in a timely manner. A relative told us, “I noticed a change in [Name of family member] feet. When I asked staff, they had already arranged for [Name] to be assessed by a health professional. It was already in hand; they respond quickly.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People and relatives told us people were supported to have enough to eat and drink. A person told us, “Staff help me to follow a diet as I can only eat certain foods.” We observed the person requested specific food and staff provided this for them. Staff encouraged people to maintain their independence through freedom of movement and aids and adaptations.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. However, they did ensure that outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. We reviewed people’s daily care monitoring records and records were not always completed accurately where people were at risk of poor fluid intake. The registered manager told us they would act on these concerns following our site visit. We saw, and people and relatives confirmed that staff regularly ensured people had access and support to fluids. A relative told us, “Staff are really encouraging; they will always try and find [Name] something they will eat e.g. a biscuit or tin of fruit. [Name] often has 4 different drinks by them so they have always got a choice.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where appropriate, people’s capacity had been assessed, and applications to deprive people of their liberty were made in line with the law. Best interest decisions were made where individual restrictions were assessed as being necessary, after consultation with the appropriate people. People’s care plans contained good information about their capacity to consent, and how staff should support them to make decisions.