Skip to content
The Care Home DirectoryEvery care home in England

CQC report explained · a residential care home

What the CQC found at Woodfield House

Goodpublished 16 March 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe and there were enough staff. Inspectors found risk assessments, safe medicines storage and administration, infection control measures, fire checks and reviews of accidents.
Effective?
Requires improvement
Staff were not fully aware of people's rights under the Mental Capacity Act. Inspectors also found unclear arrangements about one person's freedom to leave the home alone, and noted missing training at the time of the visit in epilepsy and behaviours that can challenge.
Caring?
Good
People said staff were kind and that the home felt like their home. Staff described ways of protecting privacy and dignity, and people were involved in their care plans.
Responsive?
Good
Care records covered many areas and activities were arranged around people's interests. However, some records were not current and people said they would like more activities at the home.
Well-led?
Good
Staff felt supported and health and social care professionals viewed the management positively. Audits and staff meetings were in place, but audits had not found conflicting care records and feedback from interested parties was not being evaluated in a coordinated way.
The latest report, explained

What inspectors found, March 2019

Rated Good overall, but Effective Requires Improvement because staff understanding of legal decision-making and one person's freedom to go out were not clear.

Inspectors made an unannounced visit on 7 January 2019. They spoke with four people and two staff, observed care, checked two care plans, medicines records and management documents, and contacted health and social care professionals afterwards.

People generally said they felt safe and that staff were kind. Inspectors found suitable staffing, safe medicines arrangements, risk assessments, infection control measures and learning from accidents. Care was described as respectful and people were supported with health care, activities and contact with others.

The main weakness was effectiveness. Staff were not fully clear about the Mental Capacity Act and there was confusion about whether one person could leave the home alone. Some care records also contained old, duplicate or conflicting information.

The home was rated Good overall, as it was at the previous inspection in May 2016. Safe, Caring, Responsive and Well-led were rated Good. Effective was rated Requires Improvement.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe and staff understood safeguarding procedures. There had been no safeguarding concerns in the previous 12 months.

    “People told us they felt safe and the staff had received safeguarding adults training and understood how to protect people from harm.” from the report
  • Safe medicines and staffing

    Medicines were locked away, temperatures were checked and the stocks inspected matched the administration records. Staffing levels were reviewed against people's needs and people said there were enough staff.

    “Medicines were safely stored in a locked cupboard and the temperature was taken daily and recorded.” from the report
  • Kind and respectful care

    People described the home as their home and said staff were kind. Staff gave examples of protecting privacy and allowing people time to make choices.

    “People told us the service felt like home and staff were kind to them.” from the report
  • Support with health and daily life

    Records showed regular involvement from mental health professionals and support with doctors, dentists, opticians and blood tests. People were also supported with activities such as volunteering, college and social outings.

    “Records showed the service supported people with both their mental health and physical health needs.” from the report
  • Staff support and management

    Staff had regular supervision and meetings, and said they could contribute ideas. Health and social care professionals gave positive feedback about the management.

    “Staff told us they felt supported in their roles and staff spoke well of the registered manager.” from the report
What inspectors were concerned about
  • Unclear freedom to go out

    serious

    Staff gave inspectors different information about whether one person could leave the home alone. The records and planning did not clearly explain the risks, the person's progress or whether restrictions were legally authorised.

    “This meant a person whilst not formally restricted by a locked door was aware they were "not allowed" to go out alone and so were effectively restricted.” from the report
  • Staff knowledge and training

    needs fixing

    Staff were not fully clear about the Mental Capacity Act. At the time of the visit, staff had not been trained in epilepsy or managing behaviours that can challenge, although further training evidence was sent afterwards.

    “We also noted from this document that staff had not been trained in managing people with behaviours that can challenge” from the report
  • Care records were inconsistent

    needs fixing

    Some records were old, undated, duplicated or contradictory. This meant summaries did not always reflect people's current needs, although the manager later said outdated information had been moved to storage.

    “We discussed the issue of files having duplicate and at times contradictory information on them.” from the report
  • Feedback was not evaluated well

    minor

    The home had sought feedback, but did not record enough information about who responded or use comments in its improvement plan. Inspectors recommended a more effective feedback system.

    “There was no co-ordinated system for evaluating feedback on the service from a range of people who either worked with, or lived at the service.” from the report
  • Some privacy and meeting issues

    minor

    A staff member was overheard discussing a person's private affairs on the phone. Inspectors also felt that personal hygiene issues raised in residents' meetings should have been recorded more sensitively.

    “We heard one staff member talking on the phone in the kitchen discussing a person's personal affairs” from the report
Questions to ask them, based on this report
  1. 01What is the current risk assessment and support plan for the person whose ability to go out alone was unclear?
  2. 02How do you make sure staff understand the Mental Capacity Act and do not wrongly assume that relatives can make care decisions?
  3. 03What training have staff now completed in epilepsy and behaviours that can challenge, and how is their competence checked?
  4. 04How do you check that care records are current, dated and free from duplicate or contradictory information?
  5. 05How are feedback and complaints from people, relatives and professionals recorded and used in the improvement plan?

This was an unannounced comprehensive inspection of all five rating areas; inspectors looked at two care plans and two medicines records, and did not check recruitment because no staff had been recruited in the previous 12 months. This explanation was written from the published report of 16 March 2019 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 Woodfield House

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodfield House →

  2. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 18 November 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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Barnet

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 £1,300 a week. 83 can care for a couple. 12 years' experience on average.

“The quality of life that she's given my parents has been priceless. The peace of mind she's given my sisters and I, through a very difficult time, has been invaluable.”
John M., about Liliana S.
“Folasade is really kind, patient and respectful, has a fantastic sense of humour and such a positive outlook on life.”
A previous client, about Folasade A.
See live-in carers near BarnetProfiles, rates and reviews are free to look at.

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.