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Woodlands Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 July 2019

About the service

Woodlands Care Home is a residential care home providing personal care to 42 people including people with dementia and mental health at the time of the inspection. The service can support up to 56 people.

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

People were at increased risk of harm, because accurate and up to date records of care and support had not always been maintained to ensure staff had access to person centred information to provide people with safe care and support.

People were at risk from not receiving high-quality person-centred care and support because governance and performance management was not always reliable and effective to ensure assessed risks were managed safely.

Staff had not been assessed or training evaluated to ensure they remained competent and trained to provide people with safe care and support in all situations according to people’s individual needs.

Oversight of infection control practices failed to record, and action changes required to ensure two people’s rooms remained free from unpleasant odours.

Accidents and incidents, including safeguarding concerns, were recorded. However, care plans had not always been updated to reduce the events happening again.

People were supported to enjoy activities and interests of their choosing.

People received good support to maintain a healthy balanced diet and, where appropriate, the provider worked closely with other health professionals to support people with their health and wellbeing.

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.

The registered provider worked within the principles of the Mental Capacity Act 2005 and was in the process of updating records to ensure people’s capacity to consent was clearly recorded.

Staff ensured people received their medicines safely as prescribed.

People were supported by kind and caring staff, but the organisation and leadership of the service adversely effected the overall quality of the care people received.

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 Good (published 17 November 2018).

Why we inspected

The inspection was prompted in part due to concerns received about staff competence, record keeping, and a lack of management oversight to ensure people always received safe care and support. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Responsive and Well led sections of this full report. The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have identified breaches in regulation 12 (Safe Care and Treatment) and regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because systems were either not in place or robust enough to demonstrate the service was effectively managed. This placed people at risk of harm.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 6 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 6 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 6 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 6 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 July 2019

The service was not always well-led.

Details are in our well-Led findings below.