Latest Inspection
This is the latest available inspection report for this service, carried out on 27th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for The Willows Nursing Home.
Annual service review
Name of Service: The Willows Nursing Home The quality rating for this care home is: The rating was made on: two star good service 0 8 1 2 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Rose Moffatt Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 7 Norbriggs Road Woodthorpe Mastin Moor Chesterfield Derbyshire S43 3BW 01246280539 01246280799 the.willows@craegmoor.co.uk Craegmore.co.uk Parkcare Homes Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Parkcare Homes Limited may provide the following category of service only: Care Home with Nursing - Code N To service users of the following Gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - code OP (maximum number of places 22) Dementia - Code DE (maximum number of places 19) The maximum number of service users who can be accommodated is 41 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The registered manager left the home in August 2009 0 8 1 2 2 0 0 8 Number of places (if applicable): Under 65 Over 65 19 0 0 22 Date of last key inspection: Date of last annual service review (if applicable):
Annual Service Review Page 2 of 6 Brief description of the service The Willows is located in the village of Woodthorpe, near to Staveley where there are amenities including a supermarket, church, post office and library. The home provides accommodation in single rooms, some of which are en suite. There is a dining room, lounge and conservatory on the ground floor and two dining / lounges on the first floor. There is access to the enclosed garden and car parking space is provided to the front of the building. The Willows provides personal and nursing care for up to 41 people, including a maximum of 19 people whose primary care needs are due to dementia. Information about the home, including CQC inspection reports, is available in the main entrance area of the home or from the acting manager. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home returned the annual quality assurance assessment (AQAA) when we asked for it. The AQAA told us that the views of people in the home are sought through regular meetings and surveys. Changes had been made as a result of listening to people in the home, such as changes to the menus and introducing more activities. The information in the AQAA gave us a reasonable picture of the current situation in the home. There were areas where more information would have been useful to show what improvements had been achieved in the last year, and how they were planning to make further improvements. The data section of the AQAA was fully completed. There is a new person in charge of the home, and this person filled in the AQAA. They have not yet applied to be registered with us. We received 10 surveys from people in the home, all completed with the help of staff in the home. Most people said they had received enough information about the home before deciding to live there. 5 people said they had received written information about the homes terms and conditions, 5 people had not or did not know. Most people said they received the care and support they needed, including medical care. Most people said staff were available when needed. 5 people said they knew how to make a formal complaint, 5 did not know. We received 3 surveys from staff at the home. They said they had up to date information about the needs of people in the home, and had relevant training to help them to understand and meet those needs. They said there were sometimes enough staff to meet the needs of people in the home. They told us The home communicates well between residents and staff to meet the needs of residents and families would like to have more staff on duty improve the staffing level. The home has usually let us know about events and incidents as required, although we Annual Service Review Page 4 of 6 did not receive a notification about the registered manager leaving. There are 2 ongoing safeguarding vulnerable adult concerns about people in the home. We have had information from social services that reduced staffing levels may be having an adverse effect on standards of care. We have concerns about how the home is being managed and how this is affecting outcomes for people living at The Willows. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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