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CQC report explained · a residential care home

What the CQC found at Willow Bank Care Home

Goodpublished 9 August 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Requires improvement
Inspectors were assured about infection prevention and control. This included visiting, testing, PPE, cleaning, social distancing and managing possible outbreaks.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed as a separate rating in this targeted inspection, although inspectors noted up-to-date infection control procedures and regular quality checks.
The latest report, explained

What inspectors found, June 2021

Willow Bank Care Home: inspectors were assured about infection prevention and control, but this targeted inspection was not rated.

Inspectors visited on 27 May 2021. This was an announced, targeted inspection during the COVID-19 pandemic. It looked at infection prevention and control measures, rather than the whole service.

Inspectors were assured that the home was managing visiting, testing, vaccinations, PPE, social distancing, cleaning and infection risks. The premises were clean, spacious and well ventilated. Staff were observed following PPE and handwashing guidance.

The service was recorded as inspected but not rated. The report does not give a full overall rating or ratings for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors were assured that the provider had arrangements to prevent and manage infection risks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Safe visiting

    The home had a system for visits, including testing and PPE, and inspectors said current guidance was being followed.

    “The home had a clear system in place to support relatives and friends to visit people.” from the report
  • Clean and suitable environment

    The premises were clean, spacious and ventilated. Cleaning schedules and changes to the layout supported infection control and social distancing.

    “The premises were clean and communal areas were spacious and well ventilated.” from the report
  • PPE and handwashing checks

    Staff were seen wearing appropriate PPE. The home carried out checks on PPE use, handwashing and infection control practice.

    “Regular checks were carried out to ensure staff were following guidance including observations of how they were washing their hands” 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. 01What are the current arrangements for relatives and friends to visit?
  2. 02How are staff and residents currently tested and supported with vaccinations?
  3. 03How often are cleaning schedules, PPE use and handwashing practice checked now?
  4. 04What is the home's current overall CQC rating and are there any later inspection reports?
  5. 05What arrangements are in place if an infection outbreak occurs?

This was an announced, targeted inspection of infection prevention and control measures during the COVID-19 pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 3 June 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, August 2019

Rated Good overall, but Safe requires improvement because some recruitment checks were incomplete.

Inspectors visited the home without notice on 9 and 16 July 2019. They spoke with people, relatives, staff and a health professional. They observed care and reviewed care records, medicines records, audits and other documents.

The home was rated Good overall. Effective, Caring, Responsive and Well-led were also rated Good. Inspectors found kind care, suitable support for health and nutrition, personalised care plans and strong management.

Safe was rated Requires Improvement, the same as at the previous inspection. Some staff employment histories had not been fully checked. Inspectors also found small safety issues during the visit, but these were corrected quickly. The home had improved since 2018 and was no longer in breach of regulations.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke positively about the care. Inspectors saw staff communicating gently and protecting people's privacy and dignity.

    “Throughout the inspection the atmosphere was relaxed, and we saw some caring and affectionate interventions.” from the report
  • Improved care planning

    Care plans were person-centred and generally up to date. Staff said the records had improved and helped them provide the right support.

    “People's care plans described the support required and were up to date. They contained person centred information.” from the report
  • Medicines and health support

    Medicines were managed safely, with regular checks and trained staff. People had access to health professionals, including regular district nurse visits.

    “Medication systems were organised, and people were receiving medication when they should.” from the report
  • Strong management and improvement

    The home had a clear management structure and detailed audits. Inspectors found that the provider had acted on problems from the last inspection.

    “The registered manager and nominated individual had completed a detailed action plan to address the requirements of the last inspection.” from the report
What inspectors were concerned about
  • Incomplete employment histories

    needs fixing

    Two recruitment records did not show a full employment history. The missing checks were made during the inspection, but inspectors recommended that recruitment procedures be reviewed.

    “We saw two records where the full employment history had not been identified.” from the report
  • Safe rating remains below Good

    serious

    Inspectors said some aspects of the service were not always safe and that there was increased risk that people could be harmed. A personal evacuation plan and window restrictors needed immediate attention during the visit, and both were corrected.

    “This meant some aspects of the service were not always safe and there was limited assurance about safety.” from the report
  • Activities could be stronger

    minor

    The home offered a range of activities, but feedback was mixed. One person said they were bored and a relative wanted more stimulating options.

    “The feedback we had about activities was mixed. One person said, they got bored.” from the report
  • Some worn flooring

    minor

    Most communal areas were clean and well maintained, but the carpet in the small lounge was aged and worn in places. The provider said refurbishment was planned.

    “In the small lounge the carpet was aged and worn in places.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to ensure every new staff member has a fully checked employment history?
  2. 02How do you check that personal evacuation plans continue to match changes in people's mobility?
  3. 03What activities are available for someone who becomes bored or needs more stimulation?
  4. 04How are people's end of life wishes recorded in a detailed and personalised plan?
  5. 05When will the worn carpet in the small lounge be replaced?

This was an unannounced follow-up inspection checking action from the previous inspection, with ratings given for all five key questions. This explanation was written from the published report of 9 August 2019 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 Willow Bank Care Home

4 rated inspections over 4 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Willow Bank Care Home →

  2. August 2019Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Willow Bank Care Home →

  3. August 2018Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. April 2018Inadequatedown from Good
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  5. June 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 25 January 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.

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