13 March 2023
During an inspection looking at part of the service
The Willows Care Home accommodates up to 130 people across 3 floors, including a separate unit called Lavender Unit, which is based on the same site. At the time of our inspection 114 people were using the service.
People’s experience of using this service and what we found
The manager promoted a positive person-centred culture. We received positive feedback from people using the service that demonstrated staff treated them with kindness and compassion.
Systems and processes were in place to support people's safety. People's needs, including their safety in relation to care were assessed and monitored. Timely referrals were made to health care professionals when required to promote people's safety and well-being.
Protocols and procedures were in place to ensure medicines were safely managed and administered by staff that received medicines administration training and had their competency to administer medicines assessed.
People were supported by staff that had full recruitment checks. There was sufficient staff deployed throughout the service to meet people’s needs.
Staff worked consistently within the providers policy and procedure for infection prevention and control and followed current government guidance related to COVID-19.
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.
Quality monitoring was undertaken on all aspects of the service and kept under review to continually drive improvement. Opportunities were available for people and family members to share their views. Feedback received from people using the service, relatives and staff was used to drive improvement at the service.
Rating at last inspection
The last rating for the service was Good, published on 18 June 2019.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We received concerns in relation to staffing. 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 inspection to calculate the overall rating. We found no evidence during this inspection that people were at risk of harm from this concern and the overall rating remains Good.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Willows Care Home 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.