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CQC report explained · a residential care home

What the CQC found at Woodlands Manor

Goodpublished 26 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home used PPE safely, supported testing, managed visitors and admissions safely, and maintained cleaning and infection control arrangements.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Woodlands Manor was inspected but not rated; inspectors found good infection prevention and control arrangements.

This was an unannounced, targeted inspection on 15 February 2021. It looked at infection prevention and control because of CQC's response to coronavirus in care homes.

Inspectors were assured that the home used PPE safely, arranged regular COVID-19 testing, managed visitors and admissions safely, and followed shielding and social distancing rules.

They found the home clean and hygienic. Staff also helped people stay in contact with relatives through phone calls, video calls and visits where possible.

The service was inspected but not rated. This means the visit checked infection prevention and control arrangements rather than giving an overall quality rating.

What inspectors praised
  • Safe use of PPE

    Staff used and disposed of protective equipment safely and followed national guidance.

    “Staff donned, doffed and disposed of personal protective equipment (PPE) safely and in line with the relevant national guidance.” from the report
  • Testing and outbreak arrangements

    People living at the home and staff had regular COVID-19 testing, with action taken after positive results.

    “Staff and people living at the home accessed regular COVID-19 testing and appropriate action was taken upon receipt of any positive test results.” from the report
  • Contact with relatives

    The home supported people to keep in touch with loved ones in several ways, including visits where possible.

    “Staff had supported people to keep in touch with their loved ones, such as via telephone, video calls, window visits and outdoor visits when possible.” from the report
  • Clean environment

    Inspectors found the home clean and hygienic, with cleaning carried out frequently throughout the day and night.

    “The home was clean and hygienic. A team of domestic staff and carers carried out frequent cleaning around the home throughout the day and night.” from the report
  • Use of professional advice

    The home worked with infection prevention and control professionals and acted promptly on their advice.

    “Staff had engaged positively with other relevant professionals for further support, such as the local infection prevention and control team.” 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 are PPE use and disposal checked now?
  2. 02How often are residents and staff tested, and what happens after a positive result?
  3. 03How does the home currently manage visits from relatives?
  4. 04How often are shared areas and frequently touched surfaces cleaned?
  5. 05How does the home use advice from infection prevention and control professionals?

This was an unannounced targeted inspection of infection prevention and control practices, and the Safe question was inspected but not rated. This explanation was written from the published report of 6 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.

An earlier report, explained

What inspectors found, February 2019

Woodlands Manor was rated Good; inspectors found safe, kind and personalised care, with a few records needing improvement.

This was an unannounced, planned comprehensive inspection on 7 February 2019. Two inspectors and an Expert by Experience spoke with people, relatives, staff and a healthcare professional. They also observed care and checked care plans, staff records, medicines, complaints and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, staff were kind, care was personalised, and the home worked with health professionals.

A few recording issues were found. Daily medicine fridge temperatures were not always recorded, some 'as needed' medicine protocols were missing, and some staff training dates were not entered on the training matrix. The manager took action on these points during or after the inspection.

What inspectors praised
  • Kind and respectful staff

    People and relatives spoke positively about the staff. Inspectors saw familiar, positive conversations and staff protecting people's dignity.

    “Everyone told us they liked the staff and they felt they were caring and kind.” from the report
  • Personalised care

    Care plans recorded people's routines, choices and communication needs. Staff supported people to make choices and remain as independent as possible.

    “Care plans were focused around the needs of the people who lived at the home.” from the report
  • Dementia-friendly environment

    The home used signs, photographs and suitable objects to help people living with dementia find their way around and stay occupied.

    “There was directional signage which showed the way to the bathrooms and dining room, and people's doors had photographs on them, at their request.” from the report
  • Good end-of-life support

    The home had achieved Gold Standards Framework accreditation and recorded people's wishes. Inspectors said people could stay at the home rather than being admitted elsewhere.

    “By being able to provide this high standard of end of life care, people were able to stay in the home rather than have to be admitted to hospitals, nursing homes, or hospices.” from the report
  • Learning from concerns

    The home reviewed incidents and complaints for patterns and took action, including extra staff training and reviewing staffing levels.

    “These were analysed monthly by the registered manager to look for trends.” from the report
What inspectors were concerned about
  • Medicine fridge records

    needs fixing

    Temperatures for the medicine fridge were not being recorded every day when inspectors visited. The manager acted straight away.

    “We did raise at the time of our inspection that fridge temperatures were not being recorded every day.” from the report
  • Some 'as needed' medicine guidance

    needs fixing

    Most people had detailed instructions for 'as needed' medicines, but not everyone did at the time of inspection. The manager later addressed this.

    “We saw that most, but not all people had a detailed protocol for when the required this type if intervention.” from the report
Questions to ask them, based on this report
  1. 01How do you now record and check the medicine fridge temperature every day?
  2. 02How do you make sure every person has a clear protocol for 'as needed' medicines?
  3. 03What staffing levels are normally provided on each shift, and how do you respond if someone feels there are not enough staff?
  4. 04How do you keep the staff training records up to date?
  5. 05How are my relative's routines, preferences, communication needs and end-of-life wishes recorded and reviewed?

This was an unannounced comprehensive inspection covering all five CQC questions and both the premises and care provided. This explanation was written from the published report of 26 February 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 Woodlands Manor

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Woodlands Manor →

  2. February 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodlands Manor →

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

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 31 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.

Next steps

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