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Woodstock Dementia and Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 November 2019

About the service

Woodstock Dementia and Residential Care Home is a care home providing accommodation and personal care to 36 older people, including those living with dementia at the time of the inspection. The service can support up to 60 people. Accommodation is set over two floors and divided into two units on the ground floor. There is secure access to a garden area.

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

People’s needs had not been individually assessed, to ensure there were enough staff on duty to meet their needs. There was a high use of agency staff to fill the vacancies of care staff whilst recruitment commenced. Agency staff did not always know people or their needs well, leaving people at times without the support they needed.

The quality assurance systems had not always been effective at identifying the shortfalls within the service. The previous registered manager had left the service and a new manager had been recruited. Statutory notifications and local authority safeguarding concerns had not consistently been submitted in line with regulatory requirements and procedures.

Potential risks posed to people had been assessed with guidance for staff to follow to reduce the risk. Staff followed people’s care plans which detailed potential risks due to specific health conditions. Incidents and accidents had not been consistently analysed and used to reduce the risk of reoccurrence.

Observation showed that permanent staff had developed trusting relationships with people where they felt comfortable in staff’s presence and approach them with any concerns they had. Staff knew what their responsibilities were in relation to keeping people safe from harm and potential abuse.

Medicines were managed safely. Medicine records were complete and staff competency to undertake the administration of medicines had been assessed. Systems were in place for the ordering, obtaining, storage and returning of people’s medicines.

Staff received the training and support they required to fulfil their role and meet people’s needs. Staff said improvements had been made since the new manager had started; proving them with structure and guidance.

People were treated dignity and respect. Permanent staff knew people well including their likes dislikes and personal histories. People’s privacy was maintained and aids were used such as a privacy screen to promote people’s dignity.

People’s needs were assessed prior to an admission or stay for a period of respite. Care plans were person-centred and informed staff how the person wanted to be supported. 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 support to maintain their nutrition and hydration with nutritionally balanced meals, snacks and drinks. People were supported to access healthcare services were appropriate for both urgent and routine healthcare. Staff worked alongside health care professionals to ensure people remained as healthy as possible.

People were given the opportunity to participate in a range of activities to meet their needs and interests. People were encouraged to maintain contact with people that mattered. People’s feedback was sought through resident meetings and surveys.

Complaints from people, relatives and others were listened to and acted on.

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 Requires Improvement (published 4 October 2018) and there were multiple breaches of regulation. At this inspection we found that some improvements had been made however, the provider was still in breach of two regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive i

Inspection areas

Safe

Requires improvement

Updated 26 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 November 2019

The service was not always well-led.

Details are in our well-Led findings below.