CQC report explained · a nursing home
What the CQC found at Woodlands Manor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, suitable recruitment checks, risk assessments, safe equipment and medicines management.
- Effective?
- Good
- Staff had the training, supervision and skills needed to meet people's needs. People had access to healthcare and were supported with nutrition, special diets and their choices.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. Inspectors found that care was based on people's preferences, routines, interests and independence.
- Responsive?
- Good
- The home responded to changes in people's needs and offered activities based on their interests. Relatives said communication had improved, including during the pandemic.
- Well-led?
- Good
- The management team had a clear focus on person-centred care and improvement. Audits reviewed concerns, incidents and risks, and action plans were used where changes were needed.
What inspectors found, October 2021
Rated Good in all five areas; inspectors found safe, caring and responsive support, with effective management and improvement systems.
This was the home's first inspection since it registered in 2019. The inspection was planned and took place over 25 and 26 August 2021, with further evidence collected by video call and documents until 2 September. One inspector carried it out.
Inspectors spoke briefly with people living in the home and observed staff interactions. They reviewed care plans, recruitment and medicines records, and requested policies, risk assessments and quality monitoring documents. They also sent emails to people, relatives and staff and received 22 responses.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, appropriate training, kind and respectful care, activities and personalised support. They also found regular audits and action plans to improve the service.
Enough staff
Inspectors found staff available to respond to people and did not appear rushed. The report also says staff retention was good and agency use was limited.
“During our visit, the atmosphere in the home was calm and staff did not appear to be rushed, they responded promptly to people's requests for support.” from the report
Personalised care
Staff knew people's routines, personalities and preferences. People were supported to make choices, remain independent and follow their interests.
“It was evident there was a person-centred approach to care.” from the report
Kind and respectful staff
People appeared comfortable and relaxed, and feedback from people, relatives and staff was positive about the way care was delivered.
“We observed friendly, caring interactions, and smiles.” from the report
Food and nutrition
People could choose where to eat and were supported with balanced meals and special dietary needs. The chef also took account of individual preferences.
“Menu planning was person centred and always considered a healthy, balanced, nutritional approach.” from the report
Management and improvement
The home used regular audits and action plans to monitor quality and make changes. Inspectors found the management team approachable and focused on improvement.
“Effective audits and quality monitoring played an integral part of improving the service quality provision.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you keep staffing levels matched to residents' changing needs, and how often are these levels reviewed?
- 02Are there any outstanding Deprivation of Liberty Safeguards applications for my relative, and how do you monitor when authorisations need renewing?
- 03How will you support my relative's food, drink and dietary needs, including any swallowing or weight-loss risks?
- 04What activities and family contact would be available for my relative, based on their interests and communication needs?
- 05What equipment and staff training are available if someone needs urgent lifting or moving support while waiting for an ambulance?
This was the home's first planned inspection and covered all five key questions, including infection prevention and control under Safe; the inspection activity continued until 2 September 2021. This explanation was written from the published report of 27 October 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.
What inspectors found, December 2020
Woodlands Manor Care Home was inspected but not rated; inspectors found strong infection control and clean surroundings.
This was an announced, targeted inspection on 17 November 2020. It followed information of concern about infection prevention and control. Inspectors looked at whether the home was meeting the relevant legal requirements.
Inspectors were assured that the home was using personal protective equipment safely, managing visitors, supporting social distancing and shielding, testing people and staff, and managing admissions safely. They also found the home exceptionally clean and saw managers regularly observing staff practice.
The inspection did not include entering people's bedrooms, and it focused only on infection prevention and control. The service was therefore inspected but not rated, rather than given a Good, Requires improvement or Inadequate rating.
Clean environment
The home was described as exceptionally clean. Housekeeping and laundry work were checked and recorded by managers.
“Housekeeping and laundry practices were overseen by the housekeeper, registered manager and care manager to check work had been completed to a satisfactory standard” from the report
PPE and infection control
Inspectors saw no evidence that staff were failing to wear PPE. The home had infection control training, checks and updated procedures.
“We were assured that the provider was using PPE effectively and safely.” from the report
Family visiting arrangements
The home arranged garden visits and installed an internal visiting pod with external access. It also had screening available for people who were bedbound or receiving end-of-life care.
“An internal pod had been installed which had external access to help reduce entry to other parts of the home and reduce risk.” from the report
Management oversight
Managers carried out audits and spot checks, and staff received infection control and COVID-19 training. Inspectors also found supportive communication between managers, staff, people using the service and relatives.
“There were clear policies, procedures and contingency plans in place. Audits were undertaken, and actions were taken to ensure improvements were made.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently checking that staff use PPE correctly and follow infection control procedures?
- 02How can relatives visit now, including people who are bedbound or receiving end-of-life care?
- 03How do you carry out and review individual visiting risk assessments?
- 04What testing, isolation and outbreak arrangements are currently used for new admissions?
- 05When was the home last fully inspected across all five CQC questions?
This was an announced, targeted inspection of infection prevention and control only; the service was inspected but not rated, and inspectors did not enter people's bedrooms. This explanation was written from the published report of 17 December 2020 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.
Every inspection of Woodlands Manor Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- March 2019
Registered with the Care Quality Commission on 21 March 2019.
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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39 live-in carers within about an hour of South Gloucestershire
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 £1,020 to £1,280 a week. 32 can care for a couple. 11 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.