Background to this inspection
Updated
8 October 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection team included two inspectors, a nurse specialist advisor and a An Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Woodlands Care and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Woodlands Care and Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post. The registered manager was not at the location on the day of the inspection. On the day of inspection the inspectors spoke to the clinical home manager of the service, referred to throughout the report as "the manager".
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service and ten relatives about their experience of care provided. We spoke with ten staff, including housekeeping and care staff, managers and the registered manager. We reviewed a range of records. This included nine people's care records and numerous medicine records. We looked at seven staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
8 October 2022
About the service
Woodlands Care and Nursing Home is a care home providing personal and nursing care for up to 50 people. The service provides support to both older people and younger adults, including people living with dementia, mental health, physical, and sensory needs. At the time of our inspection 43 people were using the service. The care home is purpose built, accommodating people over two floors.
Peoples' experience of using this service and what we found
The location was taken over by the current provider earlier this year and was inspected 1 February 2022. The number of residents had increased from 14 in February 2022 to 43 at the time of this inspection. The provider had endeavoured to develop a stable management team and implemented an action plan to improve the service.
People’s risk assessments and care plans were not always fully completed or kept up to date which meant staff did not always have information to help to keep people safe. People were at risk of being supported by unsuitable staff as safe recruitment procedures were not always followed.
Improvements to administering people’s medicines safely were identified at this inspection. The manager identified the implementation of a more frequent medicine audit would further improve safe medicine administration for people.
People and their relatives described varying experiences when communicating with the provider. Not everyone was confident to raise concerns with the managers at the service or thought their concerns would be dealt with. Some people were happy with their interactions with the provider staff team.
Mental Capacity Act
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 15 February 2022).
Why we inspected
We received concerns in relation to the deployment of suitable and sufficient staff and peoples' care needs not being met. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.