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CQC report explained · a nursing home

What the CQC found at Woodland Care Home

Goodpublished 23 January 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and managed, medicines were administered safely and staff understood safeguarding procedures. Some people said they occasionally waited longer for their call bell to be answered, and there was malodour in some areas.
Effective?
Good
People's needs were assessed and staff were trained and supported. Inspectors found inconsistent records about some DoLS applications and heard that staff had not always requested help promptly when there were problems providing mouth care.
Caring?
Good
People and relatives described staff as kind, caring, polite and respectful. Staff involved people in decisions, supported independence and protected privacy and dignity.
Responsive?
Good
Care was personalised and people were offered activities, trips, religious services and one-to-one support. Inspectors said care plans were detailed but needed further checking to keep them accurate.
Well-led?
Good
Inspectors found approachable leadership, good communication and systems for checking quality and safety. The management team had identified some areas needing improvement and had plans to act.
The latest report, explained

What inspectors found, January 2019

Rated Good; inspectors found safe, kind and well-organised care, but some records and mouth care needed improvement.

Inspectors made an unannounced visit on 9 January 2019. They spoke with people living in the home, relatives, staff and healthcare professionals. They also checked care plans, daily records, medicines, safety arrangements and the home's quality checks.

People told inspectors they felt safe and well cared for. Staff were described as kind, respectful and supportive. Inspectors found that people received their medicines, food, drinks and healthcare, and were offered activities and support to remain independent.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection published in July 2016. The report also identified some issues that needed attention, including malodour, inconsistent records and delays in seeking help with mouth care.

What inspectors praised
  • People felt safe

    Inspectors found that risks were identified and managed. People said they felt safe and staff understood how to respond to safeguarding concerns.

    “People were safe living in the service. Risks had been identified and people told us they felt safe and well looked after.” from the report
  • Kind and respectful staff

    People and relatives described staff as kind and respectful. Staff supported people to make choices, stay independent and maintain their dignity.

    “People and their relatives told us staff were kind and caring.” from the report
  • Food and drink

    People were offered regular drinks and snacks and could give views on menus. The cook knew people's preferences and dietary needs.

    “People were offered drinks and snacks frequently. People enjoyed the food and were given the opportunity to have input into the menus.” from the report
  • Activities and personal interests

    The home offered varied activities, trips and entertainment. Staff also provided one-to-one activities for people who stayed in their rooms or were cared for in bed.

    “People were enabled to follow a variety of interests and activities.” from the report
  • Approachable management

    The management team supported staff and maintained systems for monitoring care, medicines and safety. People and staff were able to raise concerns.

    “The registered manager was approachable and available to people and staff.” from the report
What inspectors were concerned about
  • Malodour in some areas

    minor

    Although inspectors found the home appeared clean, they noticed unpleasant smells in some areas. The provider had identified this and planned deep cleaning and refurbishment.

    “Although the home appeared to be kept clean, there was malodour in some areas.” from the report
  • Inconsistent records

    needs fixing

    Some records did not consistently reflect people's mental capacity, DoLS applications or pressure care needs. Inspectors said further checking was needed.

    “Some records were inconsistent, as some people had a DoLS application applied for when they were deemed to have capacity, and were not being deprived of their liberty.” from the report
  • Mouth care follow-up

    needs fixing

    A healthcare professional said staff had not always asked for support promptly when they had problems providing mouth care. The report says this area still required action.

    “Another healthcare professional did say they felt staff had not always requested support promptly when encountering problems with delivering mouth care to some people.” from the report
  • Care plans needed checking

    needs fixing

    Care plans were detailed and reviewed, but inspectors found they were not always accurate throughout. This included information about mental capacity and pressure care.

    “Each care plan was regularly reviewed, however further checking was needed to ensure care plans remained accurate throughout.” from the report
Questions to ask them, based on this report
  1. 01What action has been completed to remove the malodour identified in some areas?
  2. 02How do you now check that care plans accurately record mental capacity and pressure care needs?
  3. 03How do you make sure people receive mouth care promptly and that staff seek professional help when needed?
  4. 04What communal dining and bathroom facilities are currently available, and what improvements were made after the inspection?
  5. 05How are call bell response times monitored, given that some people said they occasionally had to wait?

This was an unannounced comprehensive inspection covering all five CQC questions, and both the premises and the care provided were looked at. This explanation was written from the published report of 23 January 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 Woodland Care Home

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

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodland Care Home →

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

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

  3. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2011

    Registered with the Care Quality Commission on 14 October 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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