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Inspection Summary


Overall summary & rating

Good

Updated 22 November 2018

The inspection took place on 16 and 17 August and was unannounced.

Woodlands Court 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. Woodlands Court Care home provides nursing and residential care and accommodates 35 people across two buildings. There were 31 people living at the home when we inspected.

There was a registered manager for the home. 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.

At the previous inspection the service was rated as requires improvement, at this inspection the provider had made the necessary improvements and the service was rated as good.

People’s medicines were administered safely. However, stock counts were not always completed and action was not taken when issues were identified.

People’s care plans accurately reflected their needs and planned how to keep them safe from any identified risks. Care was delivered in line with their care plans.

People told us the service was well led and the provider had systems in place to monitor the quality of care provided. However, they had not identified the concerns around medicines and would care recording.

People were happy with the food offered to them and staff referred people to other healthcare professionals if they had any concerns about people’s nutrition.

People knew how to complain and were confident complaints would be resolved.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The provider’s recruitment processes ensured that staff were safe to work with vulnerable people and for most of the time there were enough staff to meet people’s needs. Where needed agency staff were used to fill the rota. Staff received training and support which enabled them to provide safe care for people.

Most staff were kind and caring and people were offered choices in their everyday lives and their privacy was respected. People’s end of life wishes were recorded and relatives were supported to spend as much time as possible with people at this difficult time.

Inspection areas

Safe

Requires improvement

Updated 22 November 2018

The service was not consistently safe.

Medicines were safely administered. However, action was not taken when discrepancies in stock were identified.

People felt safe living at the home and staff knew how to protect them from harm.

Risks to people were identified and care was planned to keep people safe.

Incidents were reviewed and action taken to prevent similar incidents occurring.

People were protected from the risk of cross infection.

There were enough staff to meet people’s needs.

Effective

Good

Updated 22 November 2018

The service was not consistently effective.

There were systems in place to identify best practice guidelines.

Staff received training and support which enabled them to provide safe care.

People were happy with the quality and choice of food.

People were supported to access healthcare when needed.

The environment was clean and well maintained.

People’s rights under the Mental Capacity Act (2005) were protected.

Caring

Good

Updated 22 November 2018

The service was caring.

Most staff were kind and caring and engaged with people.

People were able to make choices about their everyday lives.

People’s privacy was respected.

Responsive

Good

Updated 22 November 2018

The service was responsive.

People’s care was accurately recorded in their care plans and met people’s needs.

People wishes were respected at the end of their lives.

People knew how to make a complaint.

Well-led

Good

Updated 22 November 2018

The service was not consistently well led.

Systems in place had not identified concerns around wound management and monitoring of medicines.

People’s views about the care they received were used to improve the home.

Staff felt supported by the registered manager.