Willow View Care Home

People and relatives spoke positively about staff. Inspectors found that people's dignity, privacy and independence were promoted.

“People were treated with dignity and respect, and their independence was promoted.” from the report

A new activities coordinator had created a weekly programme, with individual time for people who preferred not to join group activities.

“A new activities coordinator had been recruited and a variety of activities were on offer.” from the report

There were enough staff on duty, supported by a new tool to help calculate staffing according to people's needs.

“There was a suitable number of staff on duty.” from the report

Signed consent forms, mental capacity assessments and best-interest decisions were now recorded where needed.

“Consent to care and treatment was now in line with law and guidance.” from the report

Staff were making timely referrals when they had concerns about people's health and wellbeing.

“Where concerns about people's health and well-being were identified, referrals to relevant professionals, such as the falls team, had been made in a timely manner.” from the report

Risk assessments were not always updated or followed. Some call bells were inaccessible and other environmental risks had not been dealt with.

“We found trailing wires which could pose a ligature risk and nurse calls bell which were inaccessible to people.” from the report

Records did not always match prescribers' instructions. Some bowel medicines were not given promptly and medicine audits did not reliably identify problems.

“Medicines prescribed to assist with bowel movements had not always been given in a timely manner.” from the report

During a Covid outbreak, information about positive cases was conflicting. People who had tested positive were seen in communal areas and staff did not always follow protective equipment guidance.

“People who were Covid positive were observed in communal areas.” from the report

Some people did not receive enough fluids, and staff did not always follow instructions for modified diets intended to reduce risks.

“Daily fluid targets were in place for people, but these had not always been achieved as not enough fluids had been provided by staff.” from the report

The home's audits and checks did not find all the shortfalls. Actions after some incidents and identified problems were not always completed promptly.

“Some of the quality assurance processes needed further development.” from the report

Recruitment processes were not fully followed. Some files were incomplete, and appropriate risk assessments were not always in place after DBS checks.

“Some gaps in recruitment records remained.” from the report