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CQC report explained · a residential care home

What the CQC found at Woodbine Manor Care Home

Goodpublished 15 September 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing infections, using PPE safely, carrying out testing and keeping its infection control policy up to date.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured about infection prevention and control measures.

This was a targeted, announced inspection on 16 March 2021. It looked at infection prevention and control during the COVID-19 pandemic.

Inspectors were assured that the home was managing visitors, PPE, testing, admissions, hygiene, shielding and social distancing safely. They also found that the infection control policy was up to date.

The home had a visitor booking system and a separate visiting pod. It was clean and tidy, with cleaning checklists and regular checks of testing records.

The home was not given an overall quality rating or a rating for safe care. This report only assessed infection prevention and control measures.

What inspectors praised
  • Safer visiting arrangements

    The home used a booking system and had built a separate visiting pod to reduce the risk of infection transmission. Visitors were given PPE and lateral flow testing.

    “A specific pod, which could be accessed without coming through the home, had been built to minimise risk of infection transmission.” from the report
  • Clean environment

    Inspectors found the home clean and tidy. A dedicated housekeeping team used daily checklists, including for frequently touched areas.

    “The home was clean and tidy. There was a designated housekeeping team who used daily checklists to ensure all cleaning tasks were completed consistently.” from the report
  • PPE and staff training

    Staff were observed using PPE in line with government guidance and had completed extra infection prevention and control training during the pandemic.

    “Staff were seen to be wearing PPE in line with government guidance. They had undertaken additional infection prevention and control training during the pandemic.” from the report
  • Testing was monitored

    Staff and residents took part in the COVID-19 testing regime. The manager regularly checked the testing records and results.

    “Results were clearly displayed in a folder which was checked regularly by the registered manager to ensure the frequency of tests and results were monitored and correct.” 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. 01What infection prevention and control arrangements are in place now?
  2. 02How are visitors currently welcomed, and is the separate visiting pod still available?
  3. 03How often are staff and residents tested when there is an infection risk?
  4. 04How do you check that cleaning of frequently touched areas is completed?
  5. 05What were the home’s ratings for care, staffing, medicines and management at its last full inspection?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated overall. This explanation was written from the published report of 27 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, September 2018

Rated Good; inspectors found safe, kind and personalised care, with major improvements since the previous inspection.

This was an unannounced inspection on 3 July 2018. Two inspectors and an expert-by-experience observed care, medicines and lunch. They spoke with people, relatives, staff and a healthcare professional, and checked care records, medicines records, audits, training and rotas.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, risks were managed, medicines were generally handled safely, and there were enough staff to meet people's needs.

People were treated with kindness and respect. Staff knew people well, supported personal choices, provided personalised care and offered activities. The home also supported people with dementia through its layout, signs and memory-focused activities.

The previous inspection in February 2017 rated the home Requires Improvement and found a breach involving quality monitoring. By this inspection, the provider had followed its action plan and inspectors found robust systems that had led to significant improvements.

What inspectors praised
  • Improved quality monitoring

    The home had put stronger systems in place to check quality, review incidents and manage risks. Inspectors found these systems were being used to drive improvement.

    “Robust management systems were now in place to assess, monitor and improve the quality of the service.” from the report
  • Kind and respectful staff

    Staff knew people well and supported their dignity, privacy, choices and independence. Relatives also spoke positively about communication with staff.

    “We observed that staff were kind and respectful to people, they had a good understanding of people's needs, likes and dislikes.” from the report
  • Personalised care

    Care plans recorded people's routines, likes, dislikes, communication needs, health needs and preferences. Staff used this information to provide individual support.

    “People received personalised care that was responsive to their needs.” from the report
  • Good dementia support

    The building included signs, memory boxes and sensory features to help people living with dementia remain independent and involved.

    “We found that the decoration and physical environment of the service had been adapted to meet the needs of people living with dementia to promote their independence.” from the report
  • Activities and family involvement

    People had activities linked to their interests, including gardening, hairdressing and use of the garden pub. Families were involved in care planning and could give feedback.

    “A range of activities met people's interests and facilitated their hobbies.” from the report
What inspectors were concerned about
  • Medicines room was too hot

    needs fixing

    The medicines room temperature was recorded at 27 degrees Celsius from 29 June to 3 July, above the guidance cited in the report for boxed medicines. The home contacted the pharmacist, ordered air conditioning and bought a more accurate thermometer.

    “The National Institute for Health and Care Excellence (NICE) guidelines for safe temperatures is 25 degrees Celsius for boxed medications.” from the report
Questions to ask them, based on this report
  1. 01How do you now monitor and record the medicines room temperature, and what do you do if it becomes too hot?
  2. 02How are my relative's care plan and risk assessments reviewed when their health or behaviour changes?
  3. 03How do you make sure agency staff understand my relative's needs before they work a shift?
  4. 04Which activities would suit my relative's interests, communication needs and abilities?
  5. 05How will my family be involved in care plan reviews and decisions if my relative cannot make them independently?

This was an unannounced inspection of the overall service and all five key questions, including care, premises, records, staffing and management systems. This explanation was written from the published report of 15 September 2018 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 Woodbine Manor Care Home

5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Woodbine Manor Care Home →

  2. September 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodbine Manor Care Home →

  3. April 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 2016Requires improvementup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. December 2015Inadequatedown from Requires improvement
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  6. February 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2010

    Registered with the Care Quality Commission on 6 December 2010.

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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