We carried out a review of the data available to us about Woodville House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Woodville House, you can give feedback on this service.
Woodville House is a care home providing personal care to a maximum of 16 older people over the age of 65. Some of those people lived with dementia, a physical disability or a sensory impairment. At the time of our visit 16 people lived at the home.
We found the following examples of good practice:
¿ On arrival to the home visitors completed a Covid-19 health screening questionnaire. Their temperature was recorded and they were provided with personal protective equipment (PPE) including disposable gloves, aprons and masks to protect people from risk of infection.
¿ There was a code of conduct in place for visitors that detailed their responsibilities and safe practice during their visit to protect people living at the home from potential cross infection.
¿ A recent survey had been conducted with people living at the home, relatives and staff to gather feedback on how well the provider had performed during the pandemic and whether there were any concerns or improvements to be made. A potential matter of concern for one person had been identified and promptly addressed by the provider.
¿ Staff changed their clothes at the start of their shift to reduce the risk of cross infection. The provider laundered all staff uniforms.
¿ The provider had adopted the NHS Red Amber Green (RAG) method. This meant there was clear guidance on the required PPE protocols for staff to follow before entering bedrooms in the event of people having to isolate.
Woodville House is a care home that provides accommodation and personal care. The home is spread over three floors with communal areas on the ground floor and bedrooms on the second and third floor with lift and stairlift access. The service can support up to 16 people. When we inspected the service there were 14 people living at the home, some of whom had dementia.
People’s experience of using this service
People felt safe at the home and were comfortable around staff supporting them. There were enough staff with the appropriate skills and knowledge to provide safe and effective care. Risks to people’s health were identified and staff understood their role in keeping people safe and minimising risk. Medicines were stored, administered and ordered correctly.
People’s care included an assessment of their needs and abilities and guided staff on how to support people effectively. Staff received regular training to keep their skills and knowledge up to date. People’s nutritional needs were met, and staff supported people to eat and drink well. Staff worked with community health and social care professionals to ensure people’s health needs were monitored and addressed. 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.
Staff treated people with warmth and respect and generated a cheerful atmosphere through their approach to working with people. Staff were attentive of people’s needs and promoted their privacy and dignity.
People received personalised care by staff who knew them well. The registered manager valued people's right to engage in activities that were diverse, varied, meaningful and responsive to their enjoyment. Staff worked with other healthcare professionals to support people to remain at Woodville House at the end of their life if they wished to do so.
There was a positive culture in the service and both people and staff said they would recommend the service to others. The registered manager had quality assurance systems and processes in place to enable them to monitor the quality and safety of people’s care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update.
The last rating for this service was good (published 2 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
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.
People were protected from the risks of harm or abuse because staff were trained in safeguarding. Staff understood their responsibilities to raise any concerns with the registered manager. The registered manager made sure there were enough suitably skilled, qualified and experienced staff to support people safely and effectively. Medicines were stored, administered and managed safely.
People and their families were included in planning how they were cared for and supported. People’s individual risks to their health and wellbeing were assessed and their care was planned to minimise the risks. The provider and registered manager regularly checked the premises, essential supplies and equipment were well maintained and safe for people to use.
The registered manager and staff understood their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough to maintain a balanced diet that met their preferences and were referred to healthcare professionals when their health needs changed.
People, relatives and staff felt well cared for. Staff understood people’s diverse needs and interests and were actively involved in supporting them to enjoy their lives according to the preferences. Staff were happy working at the home because they felt supported in their work and felt the registered manager was genuinely interested in their welfare.
The manager and staff understood people’s individual needs, preferences, likes and dislikes. People were supported and encouraged to maintain their interests and to socialise in the home and in the local community. Staff respected people’s right to privacy and supported people to maintain their dignity.
People and relatives knew the registered manager well and had no complaints about the service. The registered manager and provider demonstrated the values and aims of the service, which ensured care was centred on the individual’s needs.
Further information is in the detailed findings below.
We inspected this service on 23September 2015. The inspection was unannounced. At our previous inspection in September 2013, the service was meeting the regulations.
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 service provides accommodation and personal care for up to 15 older people who may be living with dementia. On the day of our inspection, 11 people lived at the home.
The provider’s policies and procedures to minimise risks to people’s safety were understood by staff. Staff understood their responsibilities to protect people from harm and were supported to raise any concerns. The registered manager assessed risks to people’s health and welfare and people’s care plans minimised the identified risks.
There were enough staff on duty to meet people’s physical and social needs. The registered manager checked staff’s suitability to provide care during the recruitment process.
The premises were maintained and regularly checked to ensure risks to people’s safety were minimised. The provider’s medicines policy included training staff and checking that people received their medicines as prescribed, to ensure people’s medicines were administered safely.
People received care from staff who had the skills, experience to meet their needs effectively. Staff understood people’s needs and abilities because they read the care plans and shadowed experienced staff until they knew people well. Staff were supported and encouraged to reflect on their practice and to develop their skills and knowledge, which improved people’s experience of care.
The manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). No one was subject to a DoLS at the time of our inspection. The manager had checked that the care and support people received did not amount to a deprivation of their liberty. For people with complex needs, records showed that their families and other health professionals were involved in making decisions in their best interests.
Risks to people’s nutrition were minimised because staff knew about people’s individual dietary needs and preferences. People were offered a choice of foods and were supported to eat and drink according to their needs.
Staff were attentive to people’s moods and behaviours and understood how to minimise their anxiety. People were encouraged and supported to engage in activities and events that gave them an opportunity to socialise, which lifted their mood. Staff ensured people obtained advice and support from other health professionals to maintain and improve their health or when their needs changed.
People and their relatives were involved in planning and agreeing how they were cared for and supported. Care was planned to meet people’s individual needs, abilities and preferences and care plans were regularly reviewed.
People and relatives told us care staff were kind and respected their privacy and dignity. People were confident any concerns would be listened to and action taken to resolve any issues.
The staff and management shared common values about the purpose of the service. People were supported and encouraged to live as independently as possible, according to their needs and abilities.
The provider’s quality monitoring system included regular checks of people’s care plans, medicine administration and staff’s practice. Accidents, incidents, falls and complaints were investigated and actions taken to minimise the risks of a re-occurrence.
People who lived at the home were encouraged to share their opinions about the quality of the service. The provider and manager took account of people’s opinions to make sure planned improvements focused on people’s experience.
The three care plans we looked at included an assessment of people's needs and abilities. The care plans were personalised, because the manager had asked people about their hobbies, interests and preferences. One person told us their care plan was regularly reviewed and updated, and reflected their changing needs.
The provider checked that staff were suitable to work with vulnerable people before they started working at the home. The three care staff we spoke understood and explained the signs of abuse. The care staff were clear about their responsibilities to report their concerns and were confident that the manager would take appropriate action.
Care staff told us they felt well supported by the senior and manager. They told us they had regular team meetings and one to one meetings when they needed them. We saw the manager kept a record of all their meetings with staff. A member of care staff told us, 'You just have to get to know people, you just have to, to do a good job. They all have their own needs.'
The provider's quality assurance system included asking people what they thought about the service. People told us the manager listened and made the changes they suggested. One person said, 'I am very happy with the care.'