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CQC report explained · a residential care home

What the CQC found at Three Willows Residential Care Home

Goodpublished 18 October 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was following safe infection prevention and control procedures. They checked visitors, social distancing, admissions, PPE, testing, hygiene and outbreak arrangements.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, October 2020

Inspected but not rated; inspectors found good infection control arrangements during a targeted COVID-19 review.

This was an announced, targeted inspection of infection prevention and control measures. The inspection was part of a wider review of care homes during the coronavirus pandemic.

Inspectors found good arrangements for visitors, including face coverings, hand washing and personal protective equipment. The home had testing arrangements for people and staff, and staff had infection control training.

People were supported to keep in touch with relatives and friends through garden visits, window visits, telephone calls and video messages. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Visitor safety

    The home had arrangements to reduce infection risks for visitors, including face coverings, hand washing facilities and a room for putting on and removing PPE.

    “Visitors were supported to wear a face covering when visiting.” from the report
  • Staff training

    Staff had training in infection control and PPE. They were also assigned to work at one location to help reduce the risk of cross infection.

    “All staff had received training on infection control and the use of PPE.” from the report
  • Testing arrangements

    The home was testing people and staff for COVID-19 in line with national guidance.

    “The provider had appropriate arrangements to test people and staff for COVID- 19 and was following government guidance on testing.” from the report
  • Family contact

    People were supported to keep in touch with relatives and friends through garden visits, window visits, telephone calls and video messaging.

    “People were supported to have visits from their relatives and friends in a designated area in the garden, during the summer, where social distancing was observed.” 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 are visitors currently supported to use face coverings and PPE?
  2. 02How often are people and staff tested for infections now?
  3. 03How do you manage visits when there is an infection risk or outbreak?
  4. 04How are people supported to keep in touch with relatives who cannot visit in person?
  5. 05Can we see the latest ratings or inspection information covering care quality outside infection control?

This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated and the other four questions were not assessed. This explanation was written from the published report of 29 October 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.

An earlier report, explained

What inspectors found, October 2018

Three Willows Residential Care Home was rated Good; inspectors found safe, kind and personalised care, with strong management and activities.

The inspection was unannounced and took place on 27 September 2018. Inspectors observed care, spoke with people, relatives and staff, and checked care records, medicines, staffing, training, complaints and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe, well treated and listened to. Inspectors found enough staff, safe medicines practice, suitable training and detailed care plans.

People were supported with food, healthcare, activities, personal choices and end of life wishes. The home was clean, and the new provider had begun refurbishment work.

Good means the inspection found the home was meeting the relevant standards at that time. This was the first inspection under the new provider, which had taken over after the service was previously registered under another provider.

What inspectors praised
  • Safe staffing and care

    Inspectors found staffing levels were sufficient and that risks were assessed and reviewed. Recruitment checks were also completed before staff started work.

    “People, staff and staff rotas confirmed there were sufficient staff on duty to meet people's care and support needs safely.” from the report
  • Personalised support

    Care plans included people's histories, preferences, health needs and wishes. Staff were able to explain how people wanted to be supported.

    “Care plans were detailed, personalised and reviewed monthly.” from the report
  • Kind and respectful staff

    People were treated with warmth and dignity. Staff offered choices, knocked before entering rooms and encouraged people to remain as independent as possible.

    “Throughout the day we saw staff sitting with people and showing genuine interest as they talked to them.” from the report
  • Activities and social life

    The home offered activities inside and outside the home, including outings, exercise, arts and crafts, quizzes and music.

    “Activities on offer included quizzes, singalongs, exercise sessions, and arts and crafts.” from the report
  • Management and improvement

    The new provider had introduced positive changes, including refurbishment. The home also used meetings, surveys and audits to gather views and review care.

    “The service had various quality assurance and monitoring systems in place.” 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. 01The report is from 2018. What has changed since this inspection, including any changes to staffing and management?
  2. 02The new provider had started refurbishing communal areas and bedrooms. What refurbishment has been completed, and what remains to be done?
  3. 03How do you make sure each person's care plan is still reviewed regularly and reflects their current needs and preferences?
  4. 04How are activities maintained when the activities co-ordinator is away?
  5. 05How are families involved in decisions about end of life care and important healthcare choices?

This was an unannounced inspection of the whole service, including the building and care, and all five CQC question areas were assessed. This explanation was written from the published report of 18 October 2018 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 Three Willows Residential Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. October 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Three Willows Residential Care Home →

  2. October 2018Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Three Willows Residential Care Home →

  3. September 2017

    Registered with the Care Quality Commission on 29 September 2017.

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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