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CQC report explained · a nursing home

What the CQC found at Woodheath Care Home

Goodpublished 20 July 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Requires improvement
People were generally protected by safeguarding, staffing, recruitment and accident procedures. However, medicine records and storage checks were not always reliable, and some mandatory training was not up to date.
Effective?
Good
This key question was not inspected during this focused inspection. Its previous rating was carried forward into the overall rating.
Caring?
Good
This key question was not inspected during this focused inspection. Its previous rating was carried forward into the overall rating.
Responsive?
Good
This key question was not inspected during this focused inspection. Its previous rating was carried forward into the overall rating.
Well-led?
Good
The manager and staff were supportive and people and relatives gave positive feedback. Audits were completed, but inspectors said they needed to identify improvements more effectively.
The latest report, explained

What inspectors found, July 2022

Woodheath Care Home was rated Good overall, but Safe Requires Improvement because medicine records and some safety checks were not reliable.

This was an unannounced focused inspection on 28 and 29 June 2022. Inspectors looked only at Safe and Well-led, after concerns about infection prevention and control. They spoke with three people living in the home, two relatives and staff, and reviewed care, medicine, recruitment and management records.

The home had enough staff, safe recruitment checks and systems for safeguarding, accidents and emergencies. People and relatives generally said they felt safe and well cared for. The home was clean, and staff were seen wearing protective equipment appropriately.

Inspectors found problems with medicine stock records and medicine storage checks. Some staff training was out of date, infection control oversight was not strong enough, and some cleaning records were incomplete. The manager took action on some issues during or before the inspection.

The overall rating stayed Good because the other three key question ratings carried over from the previous comprehensive inspection. The Safe rating fell from Good to Requires Improvement. Well-led remained Good.

What inspectors praised
  • Enough staff

    Inspectors found enough staff on duty to meet people's needs and keep them safe. Recruitment checks had also been completed.

    “There were sufficient numbers of safely recruited staff employed to support people.” from the report
  • Positive care experience

    People, relatives and staff gave positive feedback about the care and the management of the home.

    “Feedback from people and their relatives regarding the care provided and the management of the service was positive.” from the report
  • Clean environment and PPE

    The home appeared clean and was well maintained. Protective equipment was available and inspectors saw it being worn appropriately.

    “Personal Protective Equipment (PPE) was available to all staff and visitors and we observed this to be worn appropriately.” from the report
  • Safeguarding and accidents

    Staff knew how to report safeguarding concerns. Accidents and incidents were reviewed and appropriate action was taken.

    “Accidents and incidents were reviewed each month to look for any potential trends and help prevent recurrence.” from the report
What inspectors were concerned about
  • Medicine records

    serious

    Medicine stock balances did not always match the records. One medicine storage area was not checked daily for temperature, so inspectors could not be sure medicines had always been given as prescribed.

    “This meant we could not be assured that medicines had been administered as prescribed.” from the report
  • Staff training

    needs fixing

    Not all staff had completed mandatory refresher training within the provider's timescales. This included infection control and health and safety training.

    “Although staff had completed relevant training as part of their induction, not all staff were up to date with training courses considered mandatory for staff to have the knowledge and skills to support people safely.” from the report
  • Infection control oversight

    needs fixing

    The home had infection control procedures, but oversight of staff COVID-19 testing was not robust. Some cleaning records were incomplete and did not include frequently touched areas.

    “However, there was no system in place to oversee the testing and ensure all staff adhered to current guidance.” from the report
Questions to ask them, based on this report
  1. 01How have you made sure medicine stock balances now match the records every time?
  2. 02How are medicine storage temperatures checked and recorded each day?
  3. 03What percentage of staff have now completed infection control and health and safety refresher training?
  4. 04How do you oversee staff COVID-19 testing and make sure current guidance is followed?
  5. 05What changes have you made to cleaning schedules and audits since this inspection?

This was a focused inspection of Safe and Well-led only; the Effective, Caring and Responsive ratings from the previous comprehensive inspection were carried forward. This explanation was written from the published report of 20 July 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.

An earlier report, explained

What inspectors found, March 2021

Woodheath Care Home: inspectors were assured about infection control, but the service was inspected and not rated.

The CQC made an announced, targeted inspection visit on 9 March 2021. It looked at how the home was preventing and controlling infections during the coronavirus pandemic.

Inspectors were assured that the home was managing visitors, admissions, personal protective equipment, testing, social distancing and hygiene safely. They also found infection control policies, staff training and plans for managing outbreaks and other disruption.

The home was inspected but not rated overall, and the Safe question was also inspected but not rated. This was not a full assessment of all aspects of care.

What inspectors praised
  • Infection prevention

    The home had infection control policies, risk assessments and contingency plans for outbreaks and other disruption.

    “There was an infection control policy, procedures and risk assessments in place.” from the report
  • Clean environment

    The home was clean and had redesigned areas to support social distancing.

    “The home was clean and hygienic throughout. Areas in the home had been redesigned to enable effective social distancing.” from the report
  • Safe contact with relatives

    The home supported supervised visiting and video or telephone calls, while explaining isolation and infection control measures.

    “The service helped to alleviate people feeling lonely, by providing access to safe supervised visiting, in accordance with national guidance, and video and telephone calls with friends and loved ones.” 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. 01How have your visiting arrangements changed since the inspection?
  2. 02What testing arrangements are currently in place for residents, staff and visitors?
  3. 03How do you support residents who need to isolate, and how do you reduce loneliness during isolation?
  4. 04When was your infection prevention and control policy last updated?
  5. 05What plans are in place if there is an infection outbreak or other service disruption?

This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 19 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.

The story over the years

Every inspection of Woodheath Care Home

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

  1. July 2022Goodcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodheath Care Home →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Woodheath Care Home →

  3. April 2020Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. April 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. January 2016

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2015Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  8. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  15. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  16. January 2011

    Registered with the Care Quality Commission on 24 January 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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