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CQC report explained · a care home with nursing

What the CQC found at John Wills House

Outstandingpublished 14 January 2020, 6 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control. They found arrangements for visitors, admissions, testing, protective equipment, hygiene and managing outbreaks.
Effective?
Good
This targeted inspection did not report findings about whether care was effective.
Caring?
Outstanding
This targeted inspection did not report findings about how caring staff were.
Responsive?
Outstanding
This targeted inspection did not report findings about how the home responded to people's individual needs.
Well-led?
Outstanding
This targeted inspection did not report a rating or detailed findings about how well the home was led.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.

This was an announced, targeted inspection during the coronavirus pandemic. Inspectors checked infection prevention and control arrangements, including visiting, admissions, testing, protective equipment and hygiene.

Inspectors were assured that visitors were screened, people were admitted safely and staff used protective equipment correctly. Staff and residents were tested regularly, and new admissions isolated for 14 days.

The home supported social activities while using social distancing measures. This inspection did not give an overall quality rating, and the safe question was recorded as inspected but not rated.

What inspectors praised
  • Visitor safety

    Visitors had their temperature checked, confirmed they had no symptoms and were directed to handwashing and protective equipment.

    “Each visitor had their temperature checked and signed a disclaimer to confirm they were symptom free from Covid-19 and were not feeling unwell prior to their visit.” from the report
  • Testing and admissions

    New admissions needed a negative PCR result and isolated in their rooms for 14 days. Staff and residents were also tested regularly.

    “All new admissions had to isolate in their room for a 14-day period.” from the report
  • Protective equipment

    Staff had training in putting on and removing protective equipment, and the home had enough supplies.

    “Staff had received training on the correct procedures for donning and doffing PPE along with effective hand hygiene techniques.” from the report
  • Social distancing

    The home continued social activities while using distancing measures, signs and hand hygiene reminders.

    “Staff supported people with social activities and social distancing measures were in place throughout the home.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01Are visitor temperature checks, symptom declarations, handwashing and protective equipment still required?
  2. 02What is the current process for admitting new residents and managing isolation after admission?
  3. 03How often are staff and residents tested now?
  4. 04How do you check that staff are using protective equipment and hand hygiene correctly?
  5. 05How are social activities managed while keeping residents, staff and visitors safe?

This was a targeted inspection of infection prevention and control practices only; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 11 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, January 2020

Overall rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.

This was an unannounced planned inspection on 30 and 31 July 2019. Inspectors spoke with people living in the home, relatives, staff and health professionals. They also reviewed care records, medicines records, staff files and quality checks.

The home supported up to 80 older people, including people living with dementia. There were 72 people living there at the inspection. Inspectors found enough staff, safe medicines practice, good risk management, clean surroundings and appropriate support with food, drink and healthcare.

The strongest findings were about kindness, personal choice, activities, relationships and end of life care. The overall rating was Outstanding. Caring, Responsive and Well-led were Outstanding, while Safe and Effective were Good.

What inspectors praised
  • Kind and respectful care

    Staff knew people very well and paid attention to their routines, preferences, dignity and independence. Inspectors observed consistently kind and compassionate interactions.

    “We observed consistently kind and compassionate care from staff who were observant and focussed on people's wellbeing.” from the report
  • Personalised support

    Care plans included detailed information about people's history, routines and preferences. Staff supported people to keep doing things that mattered to them.

    “People received care that was very personalised and extremely responsive to their needs.” from the report
  • Activities and community links

    People had a wide choice of activities and were involved in creating clubs and programmes. Staff helped people continue past interests and take part in community life.

    “People received an outstanding leisure and wellness service which catered to individual interests and abilities.” from the report
  • End of life care

    Inspectors found compassionate and sensitive support for people approaching the end of life. Relatives were supported and could stay or visit around the clock.

    “People received outstanding end of life care, which was compassionate, holistic and sensitive.” from the report
  • Strong leadership

    The management team worked closely with staff, people, relatives and outside professionals. The home had a clear focus on learning and improvement.

    “Provider oversight was embedded in the governance of the home.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess and meet my relative's particular nursing, dementia, rehabilitation or end of life needs?
  2. 02How often will my relative's care plan be reviewed, and how will you make sure it reflects changing needs and preferences?
  3. 03What activities and community opportunities could my relative take part in, based on their interests and abilities?
  4. 04How would you involve our family in advance care planning and support us if my relative's health deteriorates?
  5. 05How can my relative or our family raise a concern, and how will we be told what action has been taken?

This was an unannounced comprehensive inspection covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 14 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of John Wills House

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at John Wills House →

  2. January 2020Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at John Wills House →

  3. March 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. November 2014Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2011

    Registered with the Care Quality Commission on 18 February 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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