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CQC report explained · a residential care home, run by Willowcroft Care Home

Willowcroft

Sewardstone Road, Chingford, E4 7RF

Goodpublished 14 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
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.
The latest report, explained

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.

What inspectors praised
  • 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 livesfrom the report
What inspectors were concerned about
  • DBS checks

    needs fixing

    Some 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

    minor

    The 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
Questions to ask them, based on this report
  1. 01Have all current staff now had their DBS checks refreshed?
  2. 02What changes have been made to the medication administration records since the inspection?
  3. 03How are you making sure care plans describe each person's character and preferences?
  4. 04What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
  5. 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.

The story over the years

Every inspection of Willowcroft

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Willowcroft

  2. February 2018Goodstayed Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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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