We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 23 and 30 January 2017.
Woodbury Court is one of a number of services owned by Runwood Homes Ltd. The service provides care and accommodation for up to 94 people who may need assistance with personal care and may have care needs associated with living with dementia. The building is a purpose built care home designed around the needs of the older person and in particular those people with dementia or cognitive impairment and physical impairments. There is one passenger lift and secured staircases to all levels, which means all parts of the home are accessible for people with impaired mobility.
The service had 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 provided exceptional leadership and management for the staff team. The service and staff demonstrated their commitment to care for people with dignity, to further improve and to follow best practice for the care of people living with dementia. The service had a good reputation within the local community and also with health and social care professionals.
The service had continued to provide care that was outstanding and had made further improvement within the service that had a positive impact on people’s lives. Staff, relatives, professionals and people living at the service all felt the care at the service was exceptional and people were enabled to have a good quality life. Staff cared for people in a kind and compassionate way, knew them well and people were happy and relaxed at all times.
People received very personalised care which was unique to them. Their care records was an extension of the actual delivery of person centred care in the service. People’s daily lives included activities and hobbies that interested them and their involvement in things they liked was natural and they really enjoyed their days. The service was also decorated and set out in a way that meant that all the people living there had a space that they enjoyed. It was a lovely environment full of unique areas and ideas to keep people engaged.
The manager and the staff team strived for excellence and it was clear from our observations, what people told us and systems in place that they worked tirelessly to ensure people were cared for not only emotionally but physically. Many initiatives implemented had resulted in reduced physical ailments and improved health for people.
The registered manager has continually shown that they are highly committed to improving the service they provide. Their passion and determination to deliver exceptional care for people was clear in the way they spoke about what they did for people and how they tried to meet people’s individual needs. It was evident from the responses we received from people and relatives, staff and volunteers, health and social care professionals that this was a very well-led service.
People were kept safe. This was because any risks to their health and welfare was well managed. The premises were well maintained and staff were trained in how to move people requiring assistance from one place to another safely. Pre-employment checks were robust and ensured that unsuitable workers could not be employed to work in the service. The management of medicines was in line with good and safe practice.
Staffing levels were adjusted regularly and took account of the number of people being looked after and their care and support needs. The staff were well trained which meant they were able to carry out their roles and responsibilities effectively. Staff were well supervised and supported by their colleagues and line managers.
People were provided with an effective service that met their individual needs. They were encouraged where possible to make their own choices and decisions about aspects of their daily life. Where people lacked the capacity to make decisions for themselves the staff knew what to do to ensure that any decisions made on behalf of the person was made in their best interests. We found the service to be meeting the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
People were provided with the food and drink they liked to eat. They were provided with choice and given sensitive assistance if they needed help to eat their meals. Arrangements were made for people to see their GP and other healthcare professionals as and when they needed to do so. Feedback for health care professionals was extremely complimentary and all stated the service worked with them to improve people’s lives. People received responsive care. People were looked after with a person centred approach care and where possible had been involved in drawing up their care plans.
People told us that they knew how to complain. The service had a clear complaints procedure in place which was clearly displayed. This provided information on the process and the timespan for response. We saw that complaints had been recorded and any lessons learned from them had been actioned.
People were able to share their views at regular resident meetings or during the regular surveys. Relatives were positive about the care provided and had been given opportunities to give feedback and make suggestions to improve the experience for people who used the service.