20 March 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Amy Woodgate 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed intelligence we received about the service including statutory notifications and information shared by others. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke to seven people and four relatives. We spoke with three care staff, the activities co-ordinator, the registered manager and a visiting healthcare professional.
After the inspection
The registered manager sent us additional information to support our inspection. This included updated personal emergency evacuation plans, medicines protocols and other information we requested.
20 March 2020
About the service
Amy Woodgate is a residential care home providing personal care to 34 older people at the time of the inspection. The care home can accommodate up to 44 people in one adapted building.
People’s experience of using this service
Paperwork could have been improved to ensure risk assessments and care plans were clear on current presenting needs. The provider’s quality assurance systems had not always identified the issues we found at this inspection. We have made a recommendation in relation to quality assurance systems.
We have made a recommendation in relation to medicines management. People’s medicines were not always administered safely, but people received them at the right time. Staff understood their responsibilities in relation to safeguarding, as well as managing infection control. Staff were recruited so as to ensure they were safe to work with people.
When people required support from healthcare professionals this was arranged in a timely manner. People were supported to eat and drink where necessary and received meals in line with their preferences. Staff were supported through supervision, appraisal and sufficient training.
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 respected people’s privacy and dignity. People were well cared for by staff that knew them well.
People accessed a range of activities both within the home and externally. These kept them active and engaged. Complaints were appropriately responded to. Where people were nearing the end of their life their wishes were discussed.
People, relatives and staff were complimentary about the support offered by management and found them to be approachable. There was a positive, supportive culture across the home, with people’s care needs at the heart.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
This service was registered with us on 04 March 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on when the service registered with us.
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.