Eden Holme Care

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.

Woodlands Care and Nursing Home is a care home providing personal and nursing care for up to 50 people. On the day of inspection 14 people were living at the service. Some people were living with dementia and some had nursing care needs. The service is built over two floors. Communal areas were spaced throughout the service.

People’s experience of using this service and what we found

People were protected from the risk of harm and staff understood how to recognise potential abuse and what action to take to keep them safe. Risks to people were identified, assessed and managed. There were enough staff to provide support to safely meet people's needs. People received their prescribed medicines on time. The provider introduced robust COVID-19 processes to reduce the risk of infection spread. We were assured that this service met good infection prevention and control guidelines as a designated care setting.

People received the support they needed to eat and drink and maintain their health and well-being. The provider had made significant improvement to the maintenance and décor of the building. Staff liaised with a range of professionals to make sure people's health needs were met. 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.

People received kind and caring support. People were being supported by staff who knew them well. Comments from people and relatives about the staff were positive. Staff were described as kind and caring, and we observed care being provided in a dignified way.

Staff supported people to make choices about their care and their views were respected. People received person centred care from regular and consistent staff.

Quality assurance systems were in place to monitor and improve standards at the service. The manager and provider promoted a kind and caring culture. The provider supported quality monitoring by carrying out regular audits and regional management visits.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 24 January 2022 and this is the first inspection.

The last rating for the service under the previous provider was requires improvement, published on 15 April 2021.

Why we inspected

This inspection was based on the service changing ownership and the information we held indicated improvements had been made. We were supporting the potential of increasing capacity in the local system. The service had been identified for use by the Local Authority as a designated care setting for people discharged from hospital with a positive COVID-19 status. This inspection was to ensure that the service was compliant with infection prevention and control measures.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodlands Care and Nursing on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.