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CQC report explained · a nursing home

What the CQC found at Woodland Villa Care Home

Goodpublished 10 June 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm, with suitable staffing, recruitment checks, medicines systems and infection control. Some pressure-relieving mattresses were not set correctly, but this was addressed and regular checks were added.
Effective?
Good
People's needs were assessed before moving in and staff had suitable training and support. People were supported with nutrition, healthcare and decisions about their care.
Caring?
Good
This question was not inspected during this focused visit. The previous rating was carried forward.
Responsive?
Good
This question was not inspected during this focused visit. The previous rating was carried forward.
Well-led?
Good
The home had regular audits, an open culture and a registered manager. The management team acted promptly when inspectors raised concerns.
The latest report, explained

What inspectors found, June 2022

Woodland Villa Care Home was rated Good; inspectors found safe, effective and well-led care, with some issues dealt with during the inspection.

This was an unannounced focused inspection on 17 May 2022. Inspectors reviewed six care plans and risk assessments, three staff recruitment files, training records, supervision records, complaints and management records. They spoke with five people, eight staff and two relatives by phone.

The inspectors found that people were generally safe and well supported. Risks were recorded, staffing levels were sufficient, recruitment checks were completed, medicines were monitored, and infection control arrangements were in place. People received support with food, health needs and decisions about their care.

The service was rated Good overall. Safe, Effective and Well-led were each rated Good. Caring and Responsive were not inspected during this visit, so their previous ratings were carried forward. The overall rating remained Good, as it had been at the previous inspection published in September 2018.

What inspectors praised
  • Individual care planning

    Care plans recorded people's needs and preferences. Staff knew people's risks and how to support them safely.

    “Risks were identified, assessed and recorded.” from the report
  • Food and health support

    People's food preferences and dietary needs were recorded. Staff monitored nutrition risks, weights and healthcare needs.

    “Kitchen staff were fully aware of all people's dietary needs and preferences.” from the report
  • Kind and available staff

    People and relatives spoke positively about staff. People said staff were kind and easy to contact.

    “Staff are lovely and kind, I have no worries here, if I did then I can talk to staff.” from the report
  • Strong management checks

    The home used regular audits and monitored the quality and safety of care. Staff said they could access management support.

    “The audit and monitoring processes which were currently in place were robust.” from the report
What inspectors were concerned about
  • Mattress settings

    needs fixing

    Some pressure-relieving mattresses were not set correctly for the people using them. The manager acted immediately and added regular mattress setting checks.

    “Some of these mattresses were not set correctly for the person using them.” from the report
  • Hot food trolley

    needs fixing

    Inspectors identified a possible burn or fall risk from a hot food trolley in a corridor. It was taken out of use immediately and another way to keep food hot was being arranged.

    “We were concerned about the potential risk to anyone touching it or falling on to it and possibly sustaining a burn.” from the report
Questions to ask them, based on this report
  1. 01How are pressure-relieving mattresses checked now, and who records that the setting is correct for each person?
  2. 02How do you decide whether the building layout is suitable for someone with mobility problems or cognitive impairment?
  3. 03What arrangement is now used to keep food hot safely in all parts of the home?
  4. 04How will you monitor the areas covered by Caring and Responsive, which were not inspected during this visit?
  5. 05How are people's views about food, care and daily life collected and acted on?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 10 June 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, October 2018

Rated Good; inspectors found kind, safe and well-organised care, with all issues from the previous inspection addressed.

This was an unannounced comprehensive inspection on 19 and 21 September 2018. Inspectors spoke with people living in the home, relatives, staff and health professionals. They reviewed care records, medicines, staff files, training, infection control, the building and quality checks.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that medicines, risk assessments and infection control had improved since the previous inspection. They also found enough safely recruited staff and staff who were trained to meet people's needs.

People and relatives described staff as kind and attentive. Care plans were personalised, people's choices were respected, and activities and communication were adapted to individual needs. The home had improved its monitoring systems so that problems could be identified and addressed.

What inspectors praised
  • Improved safety

    The home had addressed the earlier concerns about medicines, risk assessments and infection control. Inspectors found medicines were administered safely and records were accurate.

    “We checked the concerns from the last inspection and found these had been fully addressed.” from the report
  • Kind and respectful staff

    People and relatives consistently described staff as caring. Inspectors observed patience, kindness and respect for privacy and dignity.

    “People, their relatives and visitors spoke highly of how kind and caring the staff were.” from the report
  • Personalised support

    Care plans reflected people's individual needs and choices. The home adapted communication and support for people with different languages, cultures and abilities.

    “Care plans were personalised and care and support was responsive to people's individual needs.” from the report
  • Good partnership working

    Health and social care professionals reported good communication with the home. People were supported with healthcare, rehabilitation and plans to return home where appropriate.

    “All the health professionals we spoke with spoke highly of the service and the positive outcomes they achieved for people.” from the report
  • Stronger oversight

    The home had introduced new quality checks after the previous inspection. These included audits of care, accidents, falls, the building and call bell responses.

    “There were effective quality assurance systems in place.” 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 the improvements to medicines management been maintained since this inspection?
  2. 02How are my relative's individual risks assessed, reviewed and shared with staff?
  3. 03How do you check that there are enough trained staff for people's changing needs?
  4. 04How would you support my relative's communication, cultural, faith or dietary needs?
  5. 05How are care plans, complaints, accidents and falls reviewed, and what changes have resulted?

This was an unannounced comprehensive inspection covering all five key questions and checking concerns from the previous inspection; the provider could not complete its Provider Information Return because of technical problems. This explanation was written from the published report of 13 October 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 Woodland Villa Care Home

4 rated inspections over 7 years: the service has held its Good rating throughout.

  1. June 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodland Villa Care Home →

  2. October 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodWell-led: Good

    Read what inspectors found at Woodland Villa Care Home →

  3. October 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. August 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2010

    Registered with the Care Quality Commission on 31 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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