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The Willows Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2019

About the service:

The Willows is a nursing home that provides personal and nursing care for up to 48 older people some who maybe living with dementia. At the time of the inspection 45 people were living at the service.

People’s experience of using this service:

People told us they felt safe: however, we found potential risks to people’s health and welfare had not always been assessed and detailed guidance was not available for staff to refer to. Not all staff had received sufficient training to deliver effective care. Although there were sufficient numbers of staff the deployment of staff required improvement. Safe recruitment processes were in place. Staff had access to equipment and clothing that protected people from cross infection.

Although people received their medicines as prescribed; improvements were required in the storage and disposal of medicines. Systems to monitor on line medicine training required improvement.

People’s needs were not always adequately assessed. Food choices were limited. Staff sought people’s consent before providing care. People’s health needs were met and people had access to healthcare services.

People’s dignity was not always respected. People’s choices and preferences were not always met because staff were often focussed on tasks. People’s independence was promoted. People and their relatives knew how to complain about the service and felt confident their concerns would be addressed.

People, their relatives and staff found the management team open and approachable. Although the audits completed had not always identified the shortfalls found at the inspection; the registered manager had begun to implement new systems to assess, identify and improve the quality of service people received.

More information is in the detailed findings below.

Rating at last inspection:

Rated Requires Improvement overall (report published 19 December 2017).

Why we inspected:

This was a planned inspection based on the rating at the last inspection. At this inspection we found the rating remained as required improvement.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 2 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 2 April 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 2 April 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 2 April 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 2 April 2019

The service was not always well-led

Details are in our Well-Led findings below.