Background to this inspection
Updated
22 February 2019
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.
This comprehensive inspection took place on 21 January 2019 and was unannounced.
The inspection team consisted of one inspector. Prior to this inspection, we reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We also contacted commissioners who had a contract with the service.
During the inspection, we spoke with five people who used the service for their views about the service they received. We spoke with the registered manager, the service manager, director of systems and compliance, four care staff and the administrator.
We looked at the care records of three people who used the service, the management of medicines, staff training records, staff files, as well as a range of records relating to the running of the service. This included audits and checks and the management of fire risks, policies and procedures, complaints and meeting records.
Updated
22 February 2019
We inspected the service on 21 January 2019. The inspection was unannounced. Woodsmoore is a ‘care home’. 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 accommodates six people.
On the day of our inspection six people were using the service.
The care service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection in May 2016 we rated the service ‘good.’ At this inspection we found the evidence continued to support the rating of ‘good’ overall but there had been a deterioration in safe which was rated as ‘requires improvement.' This was predominantly in regard to infection, prevention and control. However, 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.
The service was rated ‘requires improvement' for ‘safe’ at this inspection. The management of infection control was not always effective because the service was not kept clean or well-maintained to be able to be effectively cleaned. People received their prescribed medicines, however, we identified some minor issues that were addressed by the registered manager.
People continued to receive a safe service where they were protected from avoidable harm, discrimination and abuse. Risks associated with people’s needs including the environment, had been assessed and planned for and these were monitored for any changes. People did not have any undue restrictions placed upon them. There were sufficient staff to meet people’s needs and safe staff recruitment procedures were in place and used. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.
People continued to receive an effective service. Staff received the training and support they required including specialist training to meet people’s individual needs. People were supported with their nutritional needs. The staff worked well with external health care professionals, people were supported with their needs and accessed health services when required. 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. The principles of the Mental Capacity Act (MCA) were followed.
People continued to receive care from staff who were kind, compassionate and treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. People’s independence was promoted.
People continued to receive a responsive service. People’s needs were assessed and planned for with the involvement of the person and or their relative where required. People received opportunities to pursue their interests and hobbies, and social activities were offered. There was a complaint procedure and action had been taken to learn and improve where this was possible.
There was a registered manager and they promoted an open and transparent and person-centred culture with adequate leadership. People were asked to share their feedback about the action was taken in response.
Further information is in the detailed findings below