What the CQC found at Tikvah Woodpeckers

Inspectors found enough staff to meet people's needs safely. Medicines were given by trained staff and no administration errors had been reported in the previous 12 months.

“People continued to be given their medicines safely by staff who were appropriately trained to administer medicines and whose competency to do so was tested regularly.” from the report

Staff knew people well and responded to their communication, including facial expressions and body language. Inspectors saw care that was friendly, caring and respectful.

“People continued to be supported by a dedicated and caring staff team who knew them well.” from the report

Care plans covered people's individual needs, preferences, communication and routines. They were reviewed and changed when people's needs changed.

“People's care remained totally person centred and support plans were detailed and personalised.” from the report

People were offered flexible activities, outings, day trips and short holidays. Activities were matched to their abilities, preferences, moods and wellbeing.

“The service continued to provide people with a flexible activities programme which responded to their abilities, preferences, choices, moods and well-being.” from the report

The home had audits, action plans and systems for listening to people, families and staff. Inspectors found the service continued to be well-led.

“The service was monitored and assessed by the manager, staff team and provider to ensure the standard of care offered was maintained and improved.” from the report

The training record gave the wrong frequency for classroom-based medicines training. The organisation knew about the discrepancy and was working to correct it.

“We noted from the staff training record that there was an error in the required frequency of classroom based medicines training.” from the report

Most mandatory training was up to date, but some completed training had not been recorded by the training department. The provider was addressing this.

“However, the record was not entirely accurate as training that had been undertaken had not been acknowledged or recorded by the training department.” from the report

Formal supervision had fallen short of the provider's requirements. New dates had been scheduled, although staff said support and guidance were available.

“The registered manager acknowledged that this programme had fallen short of the providers requirements but dates were now scheduled to meet the timescales.” from the report

Bathroom windows had no blinds. The obscure glass might not provide enough privacy, particularly at night, so the manager agreed to investigate further.

“Whilst the glass used was of an obscure nature it was not thought that this would provide sufficient privacy particularly at night on its own.” from the report

The home had been advised to apply for authorisations for all seven residents. The manager had done this but was still checking whether applications were needed for at least two people.

“The registered manager had complied with this request but was not entirely convinced of the need with at least two of the people living in the service.” from the report