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CQC report explained · a nursing home, run by Mr Naveed Hussain & Mr Mohammad Hussain & Mrs Anwar Hussain

Willows Care Home

Nevin Road, Blacon, Chester, CH1 5RP

Inadequatepublished 10 February 2024, 2 years ago

Rated Inadequate: inspectors found the service performing badly and the CQC has taken enforcement action.

The five questions inspectors ask
Safe?
Requires improvement
People at high risk of falls were left unsupported in communal areas. Parts of the building and kitchen were dirty or unsafe, and infection control systems were not effective enough.
Effective?
Requires improvement
People could access healthcare and had ongoing assessments, and mealtimes had improved. However, care plans did not always guide staff clearly, and the provider could not assure inspectors that staff had the practical training needed for some care.
Caring?
Requires improvement
People generally spoke positively about staff, who were respectful and protected privacy. However, meaningful engagement was limited, care was often task-led, and relatives gave mixed feedback about involvement and whether concerns were acted on.
Responsive?
Inadequate
People were not shown to be involved in care planning, and personal hygiene needs were not always met. There was little evidence of suitable activities or stimulation, including for people in bed or in their rooms.
Well-led?
Inadequate
Audits and checks were inconsistent, and identified actions were not always completed. There had been repeated management changes, no registered manager had been in post for 12 months, and oversight of training and care quality was not robust.
The latest report, explained

What inspectors found, February 2024

Willows Care Home is rated Inadequate and in special measures; inspectors found serious shortfalls in personalised care, activities, infection control and leadership.

Inspectors visited unannounced on 17 and 19 October 2023. They spoke with people, relatives and staff, observed care, and checked care records, staff files and management records.

The overall rating was Inadequate. Safe, Effective and Caring were rated Requires Improvement. Responsive and Well-led were rated Inadequate. People were often positive about staff, but inspectors found people left without prompt support, limited activities, poor parts of the building and weak oversight of risks and care quality.

The home remained in breach of regulations 9 and 17 from the previous inspection and was also found in breach of regulation 12. The CQC issued warning notices and will monitor the home with the provider and local authority.

What inspectors praised
  • People felt safe

    People and relatives generally said their loved ones were safe. Staff understood how to report abuse and felt management would respond.

    Overall feedback from people and relatives told us they felt their loved ones were safe living at the Willows.from the report
  • Medicines administration

    Medication administration records were accurate and complete, and medicines were stored safely. The home still needed to manage surplus stock more effectively.

    Records of the administration of people's medicines were accurate and complete.from the report
  • Respectful care

    Inspectors saw staff treating people sensitively and respecting their privacy and dignity.

    We observed staff knocking on doors and asking for permission prior to providing care.from the report
  • Healthcare support

    People were supported to access healthcare when needed, with appointments and actions recorded in care plans.

    People were supported to access appropriate healthcare services when required.from the report
What inspectors were concerned about
  • People left without prompt support

    serious

    Communal areas were sometimes left without enough staff. This included people at high risk of falls and left them at risk of injury.

    During the inspection people who were identified as high risk of falls were left unsupported by staff in communal areas.from the report
  • Poor environment and infection control

    serious

    Some areas were dirty, poorly maintained and difficult to clean. Inspectors found poor repairs, dirty kitchen items, unpleasant smells and flies.

    Systems were either not in place or effective enough to demonstrate that risks associated with infection control and the environment were safely managed and effectively actioned.from the report
  • Too few activities

    serious

    People had limited stimulation and some were bored or disengaged, including people who stayed in bed or their rooms. This was a continuing problem from the previous inspection.

    One person told us, "I stay in bed, I am bored. All I can do is watch TV and read.from the report
  • Personal care not always met

    serious

    Inspectors found concerns about dirty fingernails, toenails and other hygiene needs. People were not consistently involved in planning their care.

    We also raised concerns in relation to some people's hygiene needs which were not being met by staff.from the report
  • Weak management checks

    serious

    Audits were irregular and actions were not always completed. The provider could not give assurance about some practical staff training, including manual handling and wound care.

    The provider had failed to address and make Improvements required since the last inspection.from the report
  • Complaints not always resolved promptly

    needs fixing

    A complaints process was available, but relatives said problems were not always dealt with quickly after they complained.

    However, we received feedback from relatives that following raising complaints that issues were not promptly resolved, we shared this feedback with the manager.from the report
Questions to ask them, based on this report
  1. 01What immediate changes have been made to ensure communal areas are staffed and people at risk of falls receive prompt support?
  2. 02What activities are now available for people in communal areas, in bed or in their rooms, and how do you check that activities match their interests?
  3. 03What repairs, cleaning and infection control work has been completed since the inspection, including the communal bathrooms, bedrooms and kitchen?
  4. 04How are care plans now updated to give staff clear instructions and to involve each person in decisions about their care?
  5. 05How do you check staff have completed and can demonstrate practical training in manual handling, wound care, creams and blood glucose support?

This was an unannounced inspection prompted partly by concerns about care quality and it assessed all five key questions, including infection prevention and control. This explanation was written from the published report of 10 February 2024 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 Willows Care Home

12 rated inspections over 9 years: the service has held its Inadequate rating throughout.

  1. February 2024Inadequatecurrent ratingdown from Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: InadequateWell-led: Inadequate

    Read what inspectors found at Willows Care Home

  2. March 2023Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

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

  3. December 2021Requires improvementup from Inadequate
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. May 2021Inadequate
    Safe: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  5. December 2020Inspected but not rated
    Safe: Inspected but not ratedEffective: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  6. July 2020Inadequatedown from Good
    Safe: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  7. January 2020Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. December 2018Requires improvementup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  9. May 2018Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  10. October 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  11. September 2015Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  12. June 2015Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  13. December 2014Inadequate
    Safe: InadequateEffective: InadequateCaring: GoodResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  14. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  15. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  16. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  17. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  18. January 2011

    Registered with the Care Quality Commission on 18 January 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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