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Archived: Wood House Inadequate

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 26 May 2015

The inspection took place on 10 and 11 March 2015, the first day was unannounced and we arrived at 7.00am. On the second day our arrival was expected. This inspection was carried out in response to concerning information received; a fire had occurred in a bedroom within the home and a person who used the service had died. The circumstances surrounding the fire were still under investigation at the time of writing this report so we have not been able to include information about this incident. The service was due to close on 30 March 2015 for reasons unrelated to the fire.

Wood House is a care home for older people, many of whom live with dementia or mental ill-health. If nursing support is required for an individual this is supplied by local NHS community nurses. The home is registered to provide care for up to 34 people, but it was scheduled to close at the end of March 2015 so there were only 16 people resident there on the first day of our inspection. Of these, nine were long stay residents for whom new homes were being sought (one was in hospital and two moved into new homes whilst we were there), four were in the home for a short period of respite care and three were using the home as a stepping stone prior to returning to their own homes after a hospital stay – this is known as the ‘step down’ service.

The home is located on the ground and first floor of a larger building. Situated on the ground floor are the office, kitchen and laundry, as well as a large lounge, small outdoor smoking area and a bathroom which are used by people who used the service. All the bedrooms are on the first floor which is divided into four units. Each bedroom has its own en-suite toilet and hand basin. The units are not completely self-contained, people can move freely between them. Each unit has its own small lounge, kitchenette, communal bathroom and shower room.

A registered manager was in place. 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.

We found that staff were kind and caring, the food was good and plentiful, cleaning was thorough and people’s medicines were administered correctly, but the standard of care was undermined by the poor systems in place within the home.

In particular we were concerned that staff were not taking full account of people’s individual care plans and associated risks when providing them with care and support. Managers had not picked up on this because some of their monitoring systems did not identify problems. There were breaches of regulations relating to safeguarding, care and welfare and assessing and monitoring the quality of service provision. You can see what action we told the provider to take at the back of the full version of the report.

We also made some recommendations which the provider needs to consider if the home stays open. These related to reviewing the admissions criteria to ensure they match the skill mix of staff and enhancing social and emotional care.

Inspection areas

Safe

Inadequate

Updated 26 May 2015

The service was not safe. There had been a fire on the premises and staff had not given sufficient consideration to the risks that might be encountered by people who went out on their own.

Safer recruitment practices were followed. Staffing levels had not been reduced, despite people moving out of the service.

Medicines administration was well organised and the home was kept clean.

Effective

Requires improvement

Updated 26 May 2015

The service was not effective in all areas. Staff did not apply the knowledge gained from training in dementia and mental health care to everyday practice.

Most staff did not know who was subject to Deprivation of Liberty Safeguards and what they had to do to maintain the safeguards.

People who used the service enjoyed the food provided and were supported to access healthcare services.

Caring

Requires improvement

Updated 26 May 2015

The service was not caring in all aspects. This was because social and emotional care was not given sufficient attention. However, staff were kind and respectful.

Positive relationships had been established between staff and people who used the service.

Responsive

Requires improvement

Updated 26 May 2015

The service was not responsive. Care plans were in place, but staff were not making reference to them when delivering care so some people’s needs were overlooked. However, care staff were aware of individuals’ likes and dislikes.

Few social or leisure activities were taking place as staff were engaged in taking people to view the new homes identified for them.

Well-led

Inadequate

Updated 26 May 2015

The service was not well-led. The systems put in place by the provider were not identifying problems and the data collected was not being used to improve the service.

There was a culture of noting things down, but not always recording the outcome of any follow up.

The provider gave all interested parties, including people who used the service and staff, the opportunity to comment on the service by issuing a questionnaire annually.