Woodside Nursing and Residential Care Home

Updated 5 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 27 January 2022 and was unannounced.

Updated 5 February 2022

Following the inspection in December 2016, we asked the provider to complete an action plan to show what they would do and by when to improve all key questions to at least good. In June 2017, we also imposed a restriction on admissions to the service using our enforcement powers.

When we inspected the service in May 2017, we found the provider was in continuing breach of Regulations 9, 12, 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because people’s care plans lacked information that enabled staff to provide person centred care. Medicines were not always managed safely, staff were not always deployed in a way that promoted safe care, and the provider did not have robust quality monitoring processes in place. Following the inspection, we met with both the nominated individual and the registered manager to discuss our findings, and they gave assurances that action would be taken to address the shortfalls identified.

This was the second consecutive inspection where the overall rating for the service was 'Inadequate'. This meant that the service remained in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe.

This unannounced comprehensive inspection on 15 and 22 November 2017 was carried out to check if sustained improvements had been made. We found the provider had made improvements to all areas where we had previously identified shortfalls. Well-led was rated ‘requires improvement’ because a longer period was required to ensure that systems and processes had been embedded to enable staff to provide consistently safe, effective and good quality care. We were also still concerned about the level of the nominated individual's involvement in driving sustained improvements. However, the service demonstrated to us that improvements have been made and is no longer rated 'Inadequate' overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Woodside Nursing and Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The care home accommodates 27 people in one adapted building. At the time of this inspection, 19 people were being supported by the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s medicines were now managed safely and accurate records were kept. The provider had effective recruitment processes in place. More staff had been employed to ensure that people were supported safely and consistently. There had been further improvements in the level of cleanliness and people were now protected from potential risks of acquired infections. The provider had effective systems to keep people safe, and staff had been trained on how to safeguard people. There were individual risk assessments that gave guidance to staff on how risks to people could be minimised. Environmental risks were assessed and there was evidence of learning from incidents to reduce the risk of recurrence.

Staff training, support and supervision was now more robust. The requirements of the Mental Capacity Act 2005 were being met and people’s consent was sought in line with guidance. People’s needs had been assessed so that they had effective care and treatment. People were supported to have enough to eat and drink, and they had access to healthcare services when required.

Staff were kind and caring towards people they supported. They treated people with respect and as much as possible, they supported people to maintain their independence. People were happy with how their care was provided and they valued staff’s support. People made decisions and choices about how they wanted to be supported and staff respected this.

There had been improvements in the quality of care plans and these now contained personalised information that enabled staff to provide person-centred care. Staff were responsive to people’s needs and where required, they sought appropriate support from healthcare professionals. People were supported to take part in activities they enjoyed. The provider had an effective system to manage people’s complaints and concerns. People were supported in a caring and dignified way at the end of their lives.

More robust quality audits were now carried out and prompt action taken to make improvements. Everyone we spoke with was complimentary about the new manager’s pro-activeness in making improvements in their short time at the service. Staff felt supported and motivated to carry out their roles. People and their relatives had been enabled to provide feedback in order for them to contribute to the development of the service.