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CQC report explained · a nursing home

What the CQC found at The Woodlands Care Home

Goodpublished 1 February 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Are people protected from harm? Staffing, medicines, infection control, safeguarding.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection control, with some risk and cleaning records needing improvement.

This was an announced, targeted inspection on 11 February 2021. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was managing visitors, testing, PPE, isolation, cleaning, social distancing and infection outbreaks. The home also supported people to keep in touch with relatives through phone and video calls.

Inspectors found some gaps. Risks for people and staff in high-risk groups had not been recorded for relevant individuals, and some deep cleaning was not recorded. The home said it was addressing these issues.

The service was inspected but not rated. This means the inspection did not give a new overall quality rating or a rated score for Safe.

What inspectors praised
  • Testing arrangements

    The home had a regular testing programme for people and staff, with monitoring for retests and participation in the vaccine roll-out.

    “There was a clear regular programme for staff and people living in the home to be tested for COVID-19.” from the report
  • PPE and infection control

    Staff used PPE correctly and supplies were available. The home was also working with public health and local infection control teams.

    “Staff followed procedures for donning and doffing personal protective equipment (PPE) and how to dispose of it safely, in line with government guidelines.” from the report
  • Contact with relatives

    Staff helped people keep in touch with relatives by telephone and video call. End-of-life visits and other visits through a visiting pod were also accommodated.

    “The provider ensured people-maintained contact with relatives by staff supporting them with video calls and telephone calls.” from the report
  • Outbreak planning

    The home had a contingency plan for positive tests and isolation. People who tested positive were isolated in their rooms when appropriate.

    “A robust contingency plan was in place and used, for when positive testing or isolation for staff or people arose.” from the report
What inspectors were concerned about
  • Individual risks not recorded

    needs fixing

    The home had identified risks affecting people and staff in high-risk groups, but these were not recorded for the relevant individuals. The manager said this would be addressed immediately.

    “They had noted the risk but had not recorded it for relevant individuals.” from the report
  • Cleaning records incomplete

    needs fixing

    The home was clean and had increased its cleaning regime, but records did not always show that deep cleaning had been completed. The provider's audits had identified this.

    “Deep cleaning had taken place in all communal areas and people's individual bedrooms, but this had not always been recorded.” from the report
Questions to ask them, based on this report
  1. 01How do you now record individual risks for people and staff in high-risk groups?
  2. 02How do you check that deep cleaning has been completed and recorded in every bedroom and communal area?
  3. 03What are the current arrangements for testing people and staff for COVID-19 and managing retests?
  4. 04How can relatives visit now, including for end-of-life care?
  5. 05What is your current plan for managing an outbreak or staff shortages?

This was an announced, targeted inspection of infection prevention and control only; the service was inspected but not rated and the other four questions were not assessed. This explanation was written from the published report of 6 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, February 2020

Rated Good; inspectors found kind, safe and well-organised care, with all five areas rated Good.

This was an unannounced inspection on 18 December 2019. The inspector and an Expert by Experience spoke with people, relatives and staff. They reviewed care plans, medicine records, staff files and management records.

Inspectors found enough staff, safe medicine systems and suitable risk assessments. People were treated with kindness and respect. Their health needs, food and drink, activities and communication needs were supported well.

The home had good links with health professionals and systems for checking quality and acting on concerns. It was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. The report says this was unchanged from the previous inspection in March 2017.

What inspectors praised
  • Kind and respectful care

    Inspectors saw people being treated with dignity and respect. People and relatives said staff were kind, patient and caring.

    “People that we spoke to said that The Woodlands Care Home was a good place to live and that staff treated them well with kindness, respect and patience.” from the report
  • Safe medicines

    Medicine records were up to date, staff were trained and checks were in place. The report found no missing signatures on medicine administration records.

    “MAR charts were signed for when medicine had been given and there were no missing signatures.” from the report
  • Personalised support

    Care plans were detailed and updated when people's needs changed. Staff knew people's preferences and communication needs.

    “People had care plans which were personalised and detailed. The plans had been reviewed as needs changed.” from the report
  • Good management checks

    The manager used audits, feedback and incident monitoring to identify and address improvements.

    “We saw evidence that the manager had a robust quality monitoring and improvement plan in place for all aspects of the service.” from the report
  • Support at the end of life

    The home had made a quiet room available so relatives could stay nearby when someone was receiving palliative care.

    “This allowed relatives to stay at the home and be on hand when people were receiving palliative care.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you work out whether there are enough staff for my relative's needs, including activities and outings?
  2. 02How often will my relative's care plan and risk assessments be reviewed if their needs change?
  3. 03What activities are available, and how will you find out what my relative wants to do?
  4. 04How will you support my relative's religious, cultural and communication needs?
  5. 05What arrangements are available for relatives if my relative needs palliative or end of life care?

This was an unannounced planned inspection covering the overall service and all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 1 February 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of The Woodlands Care Home

6 rated inspections over 4 years: the service has held its Good rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Woodlands Care Home →

  2. February 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Woodlands Care Home →

  3. March 2017Goodup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2017Inadequatedown from Requires improvement
    Safe: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  5. November 2016Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. June 2016Inadequatedown from Good
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  7. September 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. February 2015

    Registered with the Care Quality Commission on 2 February 2015.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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