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CQC report explained · a nursing home

What the CQC found at Wood Green Nursing Home

Goodpublished 4 April 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe, risk assessments were in place and staff were recruited safely. Inspectors found that medicines and infection control were managed well.
Effective?
Good
People's needs were assessed and reviewed, staff had relevant training, and people were supported with food and healthcare. The home was working in line with the Mental Capacity Act.
Caring?
Good
This key question was not assessed during this focused inspection.
Responsive?
Good
This key question was not assessed during this focused inspection.
Well-led?
Good
The provider had systems to monitor and improve the service. People, relatives and staff said management was approachable and they felt able to raise issues.
The latest report, explained

What inspectors found, April 2023

Wood Green Nursing Home was rated Good; inspectors found safe, effective care and improved management, with some areas still needing renovation.

This was an unannounced focused inspection on 23 February 2023. The inspector and two Experts by Experience spoke with 13 people, 11 relatives and 14 staff. They also reviewed care, medicines, recruitment and management records.

The home was rated Good for Safe, Effective and Well-led. Inspectors found that medicines, risk assessments, staffing, infection control and safeguarding systems were working well. People's needs were assessed, staff received relevant training, and people enjoyed the food.

The home had improved since the previous inspection, when Safe and Well-led were rated Requires Improvement. Effective remained Good. Some parts of the building needed renovation, and a redecoration programme was under way.

What inspectors praised
  • Medicines managed safely

    Inspectors observed medicines being given correctly by competent nursing staff. Records and instructions for medicines prescribed as needed were clear.

    “People's medication was managed well. The providers systems and processes supported this practice.” from the report
  • Good risk management

    Risk assessments covered all people and were reviewed when circumstances changed. Staff understood people's risks and how to reduce them.

    “Risk assessments were regularly reviewed and updated to reflect people's changing circumstances.” from the report
  • Skilled and supported staff

    Staff received regular training linked to people's needs and regular supervision. Inspectors found enough staff on duty to meet people's needs.

    “People were cared for by a staff team who had received regular and appropriate training specific to their needs.” from the report
  • Open management

    People and relatives said they could raise concerns and felt listened to. Staff described the home as positive and felt supported by managers.

    “People and their relatives told us they felt able to raise any issues they may have, felt listened to” from the report
What inspectors were concerned about
  • Some areas need renovation

    minor

    Inspectors noted that parts of the home needed renovation. Management was overseeing a redecoration programme during the inspection.

    “The registered manager was aware of this and was overseeing a programme of redecoration for the home at the time of our inspection.” from the report
Questions to ask them, based on this report
  1. 01Which areas of the home still need renovation, and what is the timetable for completing the redecoration?
  2. 02How are medicines prescribed as needed recorded and reviewed for my relative?
  3. 03How will you assess and review my relative's risks when their needs or circumstances change?
  4. 04What training and supervision will the staff caring for my relative receive?
  5. 05How will my relative and our family be involved in decisions about care, activities and the home?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not assessed and were not given ratings. This explanation was written from the published report of 4 April 2023 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, March 2022

Wood Green Nursing Home was inspected but not rated; inspectors found strong infection controls but gaps in cleaning high-touch areas.

This was a targeted inspection on 25 February 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care. The visit was announced one day in advance.

Inspectors found the home clean, tidy and well ventilated. Staff used protective equipment correctly. Checks were in place for visitors and staff, and the home supported visiting with testing and protective equipment.

There were some gaps in the cleaning schedule. Inspectors said high-touch areas needed to be cleaned more often. The provider was signposted to resources to improve its approach.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for the other four key questions.

What inspectors praised
  • Clean and uncluttered home

    The home was visibly clean and tidy, with no clutter and good ventilation.

    “The home was visibly clean and tidy, free of clutter and well ventilated.” from the report
  • Protective equipment

    Staff were seen using personal protective equipment correctly.

    “Staff were observed correctly using personal protective equipment (PPE).” from the report
  • Visitor safety

    The home had checks to reduce contamination risks when people entered. Visiting was supported through testing and PPE.

    “Robust checks were completed to ensure visitors and staff minimise the risk of contamination when entering the home.” from the report
  • Infection control checks

    Monthly infection control audits were completed, and the report says actions were dealt with promptly.

    “Monthly infection, prevention and control (IPC) audits were completed by the registered manager and all actions addressed in good time.” from the report
What inspectors were concerned about
  • Cleaning high-touch areas

    needs fixing

    Inspectors found gaps in the cleaning schedule and said high-touch areas needed to be cleaned more often.

    “We identified some gaps in the cleaning schedule and the need for increased frequency of cleaning high touch areas.” from the report
Questions to ask them, based on this report
  1. 01How often are high-touch areas cleaned now, and who checks that this happens?
  2. 02What changes have been made to the cleaning schedule since the inspection?
  3. 03How are you managing COVID-19-related staffing pressures, and have these affected care?
  4. 04How do visitors access testing and PPE, and can they still visit relatives in their bedrooms?
  5. 05How do you check that staff and visiting professionals meet the COVID-19 vaccination requirements or have an exemption?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it was not a full assessment of the service and the report gives no ratings for the other key questions. This explanation was written from the published report of 23 March 2022 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 Wood Green Nursing Home

7 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. April 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Wood Green Nursing Home →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Wood Green Nursing Home →

  3. December 2020Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2019Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. March 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. August 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. July 2015Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  8. March 2015Requires improvement
    Safe: InadequateEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  9. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. April 2011

    Registered with the Care Quality Commission on 14 April 2011.

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.

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