CQC report explained · a residential care home, run by Willowcroft Care Home
Willowcroft
Sewardstone Road, Chingford, E4 7RF
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm, risks were managed, staffing was sufficient and medicines were managed safely. They noted that some DBS checks needed updating and that MAR records could be improved.
- Effective?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found open management, regular staff support and systems for monitoring quality. People and staff were involved in meetings and the home worked with other professionals.
What inspectors found, December 2023
Willowcroft was rated Good; inspectors found safe, person-centred care, with some records needing improvement.
This was an unannounced focused inspection on 6 and 21 November 2023. Inspectors looked at Safe and Well-led. They spoke with one person, a relative, three staff members and an informal advocate. They also checked care, medicine, recruitment and management records.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found suitable staffing, safe recruitment processes, trained staff, well-managed medicines and systems for learning from incidents. People were supported to make choices and staff used the least restrictive approach.
There were some areas to improve. Some longer-term staff did not have an updated DBS check, the medicine administration record could be clearer, and the care plan template did not always record people's personal character well. The home was already working on these issues.
Safe staffing
The home had enough suitable staff and a consistent team. Staff had been safely recruited, although some longer-term DBS checks needed updating.
“The provider ensured there were sufficient numbers of suitable staff.” from the report
Managing risks
Risks were assessed and staff knew how to reduce them. People or their representatives were involved in decisions about risk.
“Staff took action to mitigate any identified risks.” from the report
Medicines
Inspectors found that medicines were being managed safely. Staff had training and their medicine skills were checked regularly.
“People were supported to receive their medicines safely.” from the report
Positive culture
The home had a calm, open culture. People were able to raise concerns, and staff said they could speak openly with managers.
“There was a positive and open culture at the service.” from the report
Choice and independence
Staff supported people to have choice and control and used the least restrictive approach. The home was also working towards goals that supported independence.
“People were supported to have maximum choice and control of their lives” from the report
DBS checks
needs fixingSome longer-term staff did not have an updated DBS check. The manager planned to refresh checks for current staff, and staff had signed declaration forms in the meantime.
“We identified that some of the longer-term staff did not have an update on their DBS.” from the report
Personalised care plans
minorThe care plan template did not always record people's character in a sufficiently person-centred way. The manager was working with the provider to improve it.
“The registered manager had identified the care plan template did not always produce records in the most person-centred way.” from the report
- 01Have all current staff now had their DBS checks refreshed?
- 02What changes have been made to the medication administration records since the inspection?
- 03How are you making sure care plans describe each person's character and preferences?
- 04What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
- 05How are people and their families involved in reviewing risks and care plans?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection when calculating the overall rating. This explanation was written from the published report of 14 December 2023 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.
Every inspection of Willowcroft
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2018Goodstayed GoodSafe: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- July 2011
Registered with the Care Quality Commission on 22 July 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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