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Inspection Summary


Overall summary & rating

Good

Updated 29 September 2018

This inspection site visit took place on 18 and 23 July 2018 and was unannounced.

A Woodlands House is a residential care home which provides care and support for up to 14 older people living with dementia. At the time of our inspection there were 14 people living at the home. Accommodation was arranged over three floors with stairs and a passenger lift to the first floor, people with better mobility stayed in rooms on the second floor and had been assessed as being able to use the stairs. The ground floor had a dining area and two communal lounges. 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 service had a registered manager. 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. The registered manager is also one of the providers of 29 years; they were in day to day charge and worked alongside a deputy manager and care staff team to provide care for people.

The service was last inspected on 28 and 29 January 2016 and was rated Good across all questions. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff were aware of their responsibilities in relation to keeping people safe and knew who to contact externally should they feel their concerns had not been dealt with appropriately.

Systems were in place to identify risks and protect people from harm. Risk assessments were in place and reviewed monthly. Where someone was identified as being at risk, actions were identified on how to reduce the risk and referrals were made to health professionals as required.

Policies and procedures were in place to ensure the safe ordering, administration, storage and disposal of medicines. Medicines were managed, stored, given to people as prescribed and disposed of safely.

Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and people were encouraged to make decisions about their care and treatment. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible.

The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care services. The members of the management team and care staff we spoke with had a full and up to date understanding of DoLS. These safeguards protect the rights of adults by ensuring that if there are restrictions on their freedom and liberty these are assessed by appropriately trained professionals. Appropriate DoLS applications had been made, and staff were acting in accordance with DoLS authorisations.

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.

There were sufficient staff to meet people's needs and keep them safe. The registered manager told us that they did not use agency staff as they liked to ensure that staff had a good understanding of people’s needs and the care they needed. Safe staff recruitment procedures ensured only those staff suitable to work in a care setting were employed.

Staff had undertaken appropriate training to ensure that they had to skills and competencies to meet people’s needs. Staff attended regular supervision meetings with the regis

Inspection areas

Safe

Good

Updated 29 September 2018

The service remains Good.

Effective

Good

Updated 29 September 2018

The service remains Good.

Caring

Good

Updated 29 September 2018

The service remains Good.

Responsive

Good

Updated 29 September 2018

The service remains Good.

Well-led

Good

Updated 29 September 2018

The service remains Good.