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Willow Tree Lodge Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Willow Tree Lodge. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating

Requires improvement

Updated 4 December 2019

About the service

High Meadow Nursing Home is a ‘care home’ and at the time of this inspection was providing personal care, nursing care and accommodation to 22 people. Most of the people using the service were older people with varying needs including dementia. No new people had been admitted to the home since our last inspection, the home is registered to support up to 34 people. The home is a large detached and extended house. Accommodation was split over three floors with lift access to each floor.

People’s experience of using this service and what we found

People and visitors were positive in their feedback. Their comments included, “I would recommend this home, I feel its turned the corner, it’s much better now,” and, “I am happy, comfortable and contented.” A relative, speaking about their mother, told us, “There are always staff around. She has all new furniture. She’s always clean and everything is together and nice, her clothes are always clean and washed.” Another relative told us,” The staff have been amazing, we think they are fantastic.”

The service had improved considerably since our last inspection. There were enough staff to provide the care people needed, care staff were deployed on each floor and were attentive to people’s needs. No new people or staff had joined the service since our last inspection; staff were familiar with people and knew their needs well.

The laundry was appropriately staffed, there were supplies of clean bedding and towels, many of which were recently renewed.

People were safeguarded from abuse, staff showed a good understanding of what was meant by abuse and knew how to report any concerns. The registered manager worked closely with people and their relatives and encouraged them to report any issues or concerns. The complaints process was updated and accessible.

Risks to people were known, assessed, up to date and well managed. There was clear guidance for staff to follow. Improvements to the environment had been made, it was safe and regularly maintained, problem flooring had been replaced and dementia friendly improvements made. Equipment had been serviced and maintained, where needed people had their own wheelchairs and lifting slings.

There was always a nurse on duty at the service. People received their medicines on time and as prescribed. When people were unwell or needed support from a health and social care professional they received this. People were supported to eat and drink safely. Where people needed support to maintain their weight or eat a specialist diet, this was in place.

Staff worked hard to support people to maintain their dignity, this had improved with revised staffing availability. The support people received was personalised, people and their relatives were positive about the support they received and told us it met their needs. People and relatives were complimentary about the activities offered at the service and the enthusiasm of staff.

Staff understood people had the right to make choices about their care. Where people were not able to make decisions, these were made in their best interests. 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.

Staff had the skills and experience they needed to support people well. They were more positive about the training they received and felt well supported by the registered manager.

People and relatives told us they found the registered manager, nursing and care staff dedicated, approachable and friendly. Improvements had been seen across the service since our last inspection. The provider, registered manager and staff had worked hard to make sure people received better quality care and support.

Management systems to provide ongoing oversight of the service had improved, records evidenced where follow up action had been taken as the

Inspection areas


Requires improvement

Updated 4 December 2019

The service was not always safe.

Details are in our safe findings below.



Updated 4 December 2019

The service was effective.

Details are in our effective findings below.



Updated 4 December 2019

The service was caring.

Details are in our caring findings below.



Updated 4 December 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 4 December 2019

The service was not always well-led.

Details are in our well-Led findings below.