What the CQC found at Woodeaves Residential Care Home

Inspectors found detailed risk assessments, records of accidents and incidents, and management oversight of possible trends.

“Detailed risk assessments were completed and regularly reviewed.” from the report

People described staff as kind and gentle. Inspectors also saw patient support with mobility and personal care.

“We observed kind and caring practice. For example, a staff member supported a person to the bathroom in an extremely kind and patient manner” from the report

People's needs were assessed before they moved in, and care plans included their preferences, risks and support needs. People and relatives were involved.

“People and their relatives had been involved in this process.” from the report

Managers discussed concerns openly and took action during the inspection, including increasing support and updating a care plan.

“The registered manager and deputy manager were open to discussion and acted to address areas raised during the inspection promptly.” from the report

Assessments were carried out routinely for every person as part of admission, instead of being based on whether there was a concern about a specific decision. The manager said this would change.

“This was because mental capacity assessments had been carried out for all people living at Woodeaves and were a routine part of the pre-admission process.” from the report

One person's care plan did not reflect their current needs. This meant staff did not have enough guidance, although action was taken during the inspection.

“A person's care plan had not been updated and was not reflective of their current needs which left them at risk of receiving care that was not effective.” from the report

One allegation was not reported or recorded promptly. Managers reminded staff about the correct process after inspectors raised this.

“However, there was a delay in reporting one allegation and the concern had not been recorded at the time of disclosure.” from the report

The home had received informal complaints, such as about laundry, but these were not recorded. A new system was planned to record complaints, concerns and compliments.

“Informal” complaints that did not require a written response had been received and dealt with, for example about laundry, however these had not been recorded.” from the report

Some staff were reluctant to raise issues because they feared repercussions. Inspectors also received feedback that some concerns had not been acted on.

“Some staff were reluctant to raise issues for fear of repercussions.” from the report