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Archived: Woodbank House

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Reports


Inspection carried out on 19 February 2014

During an inspection to make sure that the improvements required had been made

At our previous inspections in June and July 2013 we observed examples of poor practice in relation to how Woodbank House respected people�s dignity, privacy and confidentiality. At this inspection we found people had received a good standard of personal care and attention which meant that people�s dignity and human rights were upheld.

People who were able told us that overall they were happy living at the home and satisfied with the care and support they were receiving. Their comments included, "The staff are nice and look after us," "I'm happy and settled here" and "I'm used to this place and get on with everyone like a house on fire."

We spoke with one relative. They told us, "If I have needed anything addressing this has been done quickly and the staff have been fantastic."

At our previous inspections we identified some concerns in relation to the safety and security of the premises. During this visit we found the ambience in the home was friendly and homely. We found people were cared for and supported in a clean, safe and well maintained environment.

At this inspection we found suitable arrangements were put in place to ensure staff were appropriately supported to enable them to deliver care safely and to an appropriate standard.

At the previous inspection we identified concers about the maintenance and storage of people's records. At this inspection we found that records were held securely and retained for an appropriate period of time.

Inspection carried out on 26 June and 4, 17 July 2013

During a routine inspection

We used both formal and informal observation during our inspection visits. We also reviewed a range of records and spoke with six people, one relative, six members of staff and the home manager. Our inspection also included checking that improvements had been made to staffing arrangements at the home.

We observed examples of poor practice in relation to how Woodbank House respected people�s dignity, privacy and confidentiality.

People were positive about the care they received at Woodbank House. One person stated, �staff here are nice and they know me.� People generally experienced care and support that met their needs. People felt,'safe,' and we found that appropriate arrangements were in place to safeguard people. We found systems were in place for the management of medicines.

People were protected from the risk of infection as a result of the provider implementing the actions of a recent external infection control audit. We identified some issues in relation to the safety and security of the premises.

We found there were enough staff to provide care. Suitable arrangements were not place in relation to the training, supervision and appraisal of staff.

Woodbank House had an effective system to regularly assess and monitor the quality of service that people received. We identified issues about the maintenance and storage of people's records.

Inspection carried out on 8 March 2013

During an inspection to make sure that the improvements required had been made

We found that Woodbank House had an effective process to ensure that employees were of good character and held the necessary checks, skills and qualifications to work at the home.

Our conversations with people, relatives and staff, together with observations on the day of our inspection evidenced that there were sufficient staff available to meet people�s daytime needs.

We found that night staffing within the home had been reduced from three to two members of staff. An incident had occurred during a night shift following this reduction. Our review of records relating to night time staffing, together with our conversations with the manager and staff evidenced that Woodbank House had failed to ensure that appropriate numbers of night staff were in place to safeguard the health, safety and welfare of people living at the home.

The home had taken action to address the medicines issues identified at our last inspection; however, further concerns were identified during this inspection. These related to the administration and recording of some medicines, staff knowledge of medicines, protocols in place to administer �when required medicines� and the security and storage of medicines.

We found that a clear induction process was in place for each staff role. We also noted that staff were supervised, received training and were given opportunities for further training.

Inspection carried out on 27 December 2012

During an inspection in response to concerns

We completed this inspection due to concerns raised with us on 20 December 2012. On 21 December 2012 Sheffield Local Authority Contract and Commissioning staff visited the home and confirmed the issues. We found that the home had been without the registered manager since the middle of November and this had an impact on the leadership of the home. On the day of the inspection the registered manager had returned to work.

We spoke with three people who used the service. People told us: "I've had no problems up to now," "all the staff are very nice to me, there�s always somebody around," and "Its alright here. The food isn�t all that good, it wasn�t the best today."

We looked at the management of medicines. Evidence showed that not all people were protected against the risks associated with the management of medication because the provider did not have appropriate arrangements in place to manage, obtain, record, handle and administer medicines safely.

Evidence showed there were not enough qualified, skilled and experienced staff to meet people's needs. We found that not all staff had received appropriate training and professional development.

We looked at the personal files of two members of staff who had recently started working at the home. We found that they had not received an induction. A comprehensive induction is important to ensure staff are supported, trained and supervised to enable them to deliver care safely and to an appropriate standard.