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Archived: Woodlands - Care Home Good

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Inspection Summary


Overall summary & rating

Good

Updated 6 October 2017

This inspection was carried out on the 11 September 2017 and was unannounced.

Woodlands Care Home is part of the HICA group of homes. It is purpose built. It provides accommodation for up to 54 people some of whom may be living with dementia. At the time of this inspection there were 44 people living at the home and receiving a service.

The home is situated on the outskirts of Driffield, within walking distance of local community facilities. There are 46 bedrooms for single occupancy (15 with en-suite toilet and wash hand basin facilities) and four bedrooms for double occupancy with wash hand basin facilities. Bathrooms and toilets are shared. There is a lift to the upper floor. There are various communal areas including lounges and dining rooms for people to use. People have access to outside gardens and seating areas, which are provided in secure settings. There is car parking for staff and visitors to the front and side of the service.

There was a registered manager in post. 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 will be referred to as 'manager' throughout the report.

At the last inspection in November 2016 the overall rating for the service was Requires Improvement. This was because the provider was in breach of two Regulations under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The breaches were in Regulation 11 Need for consent, and Regulation 17 Good governance. We asked the provider to submit an action plan regarding the breaches identified. During this inspection we checked and found the actions were met and no further breaches were identified.

People were protected from the risk of harm or abuse because there were effective systems in place to manage any safeguarding concerns. Care workers were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm.

The service was working within the principles of the Mental Capacity Act 2005 (MCA). Care workers understood their responsibilities under the MCA and were actively promoting people’s independence. The manager and care workers had an understanding of Deprivation of Liberty Safeguards. They had made appropriate referrals to the relevant authorities to ensure people's rights were protected.

Further work was being completed by the provider to ensure that, where a relative had told the service they had a Lasting Power of Attorney, this was validated and the scope of the decision making was recorded.

Care workers were only recruited after checks had been completed to ensure they were of suitable character to work with vulnerable people. A staff dependency tool was used to ensure sufficient skilled care workers were employed to meet people’s needs. On the day of the inspection we saw that there were sufficient numbers of staff employed to meet people's individual needs.

Support plans were person centred and reflected individual's preferences. Information recorded was reviewed and evaluated as a minimum every month and more often where people’s needs changed. This meant care workers had access to up to date records that were reflective of people’s current needs.

Assessments of risk were carried out to ensure any care and support activities were safe and with minimal restrictions. Assessments were carried out around the home environment to ensure it was safe for everybody. Where any concerns were highlighted action plans were implemented and reviewed for their effectiveness.

Care workers were supported to complete training, learning and development that enabled them to fulfil the requirements of their role and meet people’s individual needs and sup

Inspection areas

Safe

Good

Updated 6 October 2017

The service was safe.

Care workers had received training on safeguarding adults from abuse and understood their responsibility to report any incidents.

There were sufficient numbers of suitably trained and qualified care workers on duty to meet people's individual needs.

People received their medicines safely in line with their prescription.

Effective

Good

Updated 6 October 2017

The service was Effective.

The provider was following the legal framework of the Mental Capacity Act 2005.

Care workers were fully supported to ensure they had the skills required to carry out their role and responsibilities.

People received a choice of nutritious food. However, people provided mixed responses regarding the meal time arrangements and the manager was addressing those concerns.

Caring

Good

Updated 6 October 2017

The service was Caring

Care workers ensured people's dignity was respected and understood the importance of maintaining people's confidentiality.

People's wishes and preferences to their end of life treatment had been recorded where they had agreed to this.

Care workers had completed training in equality and diversity and the provider ensured they adhered to policy and procedure to treat everybody without discrimination.

Responsive

Good

Updated 6 October 2017

The service was Responsive.

People had been consulted about their care and support and records included up to date information that was centred on the individual.

People were supported to enjoy activities and interests of their choosing; to live a full life.

The provider had information for people to follow to make a complaint and they were supported to do this if required. Any complaints were taken seriously and fully investigated.

Well-led

Good

Updated 6 October 2017

The service was Well-led

The provider completed regular checks around the home and on the service to ensure standards were maintained or improved where this was required.

Areas that we identified required improvement had action plans in place to ensure completion.

Everybody spoke highly of the management and the support they received.