Willow Grange Care Home

The inspection included an unannounced visit to the service which took place on 15 and an announced visit on 17 July 2025.

This inspection was prompted in part by a notification of an incident following which a service user died. This incident was investigated and reported on by the Coroner, who issued a Regulation 28 Prevention of Future Deaths report requesting the provider took additional action in order to ensure the safety of other residents at the home. During this inspection, we looked for assurances that the service had complied with the requirements of the Coroner’s Regulation 28 report. We found, on the whole, that they had, but the inspection identified some areas for improvement. The registered manager was responsive to all feedback during the inspection and took immediate action to address the concerns raised.

People were protected, kept safe and cared for by a group of staff who knew them well. Staff understood and managed risks and were aware of lessons that had been learnt following a serious incident. People’s healthcare needs were met and the service had positive relationships with other healthcare professionals. Staff felt supported and well trained. We raised a number of concerns regarding the care environment with the provider and they responded to these promptly. Staff managed medicines well.

People’s care needs were regularly reviewed, and good communication systems were in place across the home.

Policies and procedures had been updated but had not been robustly reviewed to ensure out of date or incorrect information was removed. Audits in place had not identified the areas for improvement found during the inspection.

The registered manager was highly thought of by both people living at the service, their loved ones and the staff group as a whole. They were described as supportive and approachable.