We carried out a review of the data available to us about The Willows on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Willows, you can give feedback on this service.
People’s experience of using this service and what we found
People and their relatives told us they felt safe and there were safeguarding policy and procedures in place. Staff were knowledgeable about the actions they would take to safeguard people and told us they would be confident to raise concerns.
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.
A lack of meaningful activities were available to people to occupy them during the day. The registered manager had identified this and was working to improve the activity provision available to people. We have made a recommendation that a full review of activities provision is undertaken.
Effective systems were in place to monitor the quality and running of the service. The registered manager was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Safe recruitment procedures had been followed. Recruitment checks were completed in line with the providers policy. Staff told us they felt well supported at work and received relevant training to enable them to carry out their job roles effectively.
Risk assessments and care plans were in place and contained person-centred information relevant to the needs of people. Environmental risk assessments and checks had been completed to ensure the safety of the building. End of life care plans were not in place for all people. The registered manager was working to update care plans to ensure people’s wishes were recorded.
Staff treated people in a dignified manner and people and their relatives told us staff were caring. Staff told us they felt supported by the registered manager/provider and received regular supervision.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
This service was registered with us on 2 October 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on our inspection programme.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.