CQC report explained · a nursing home
What the CQC found at The Woodlands Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- 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.
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.
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
Individual risks not recorded
needs fixingThe 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 fixingThe 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
- 01How do you now record individual risks for people and staff in high-risk groups?
- 02How do you check that deep cleaning has been completed and recorded in every bedroom and communal area?
- 03What are the current arrangements for testing people and staff for COVID-19 and managing retests?
- 04How can relatives visit now, including for end-of-life care?
- 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.
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.
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
Inspectors raised no specific concerns in this report.
- 01How will you work out whether there are enough staff for my relative's needs, including activities and outings?
- 02How often will my relative's care plan and risk assessments be reviewed if their needs change?
- 03What activities are available, and how will you find out what my relative wants to do?
- 04How will you support my relative's religious, cultural and communication needs?
- 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.
Every inspection of The Woodlands Care Home
6 rated inspections over 4 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Inadequatedown from Requires improvementSafe: InadequateWell-led: Inadequate
- November 2016Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2016Inadequatedown from GoodSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- September 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
75 live-in carers within about an hour of Nottinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.