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CQC report explained · a residential care home

What the CQC found at Woodlands Residential Care

Goodpublished 2 May 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 about infection prevention, PPE, testing, social distancing, admissions and visiting arrangements. The provider also described measures to manage COVID-19-related staffing pressures.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found good COVID-19 infection control and visiting arrangements.

This was an announced, targeted inspection on 18 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.

The home was not given an overall rating. The Safe question was inspected but not rated. The other four questions were not inspected in this visit.

Inspectors found good practice. Staff used protective equipment correctly, testing was in place and the home monitored vaccinations. Visitors could book visits and go straight to residents' rooms, with gardens also available when the weather allowed.

What inspectors praised
  • Infection control

    Inspectors found that staff used PPE safely and that the home had appropriate supplies. Staff had also been trained in infection control.

    “Stocks of appropriate personal protective equipment (PPE) were well-maintained and staff used and disposed of it correctly.” from the report
  • Testing and vaccination

    The home monitored vaccination status and carried out regular testing for staff. Most staff and residents had received vaccinations and boosters.

    “COVID-19 testing was undertaken twice weekly by all staff and lateral flow testing was required before each shift.” from the report
  • Visiting arrangements

    Residents could see visitors through pre-booked visits in their rooms, without mixing with others in the home. The gardens could also be used when the weather allowed.

    “Residents were able to spend time seeing and speaking to their visitors in different ways.” from the report
  • Safe activities and movement

    Inspectors saw residents taking part in activities and moving around the home safely while maintaining social distance.

    “We observed people moving about the home freely and safely, maintaining social distance.” 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 you managing staffing pressures now, and how might these affect my relative's care?
  2. 02How often are staff tested, and what happens if someone has a positive result?
  3. 03How can residents receive visitors now, and do visits still need to be booked?
  4. 04How do you manage staff or visiting professionals who have a vaccination exemption?
  5. 05How will you support my relative to take part in activities while keeping people safe from infection?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 3 February 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, May 2019

Rated Good overall; inspectors found kind, safe care, with some medicines and record-keeping issues to improve.

The unannounced inspection took place over 13 and 15 March 2019. One inspector spoke with people living at the home, staff, managers, healthcare professionals and the provider. They also checked care records, medicines records, staff recruitment and training records, and safety checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were protected from abuse, received suitable care from trained staff, and were supported with food, drinks and healthcare. Inspectors found that staff treated people with kindness, dignity and respect.

The home had improved since the previous inspection, when it was rated Requires Improvement. Inspectors found stronger cleaning, kitchen management and quality monitoring systems. They recommended improvements to medicines recording, DoLS applications and the signing and dating of records.

What inspectors praised
  • Kind and respectful staff

    People were treated with dignity and respect. Staff knew people well and had formed positive relationships with them.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Safe care and staffing

    Safeguarding arrangements, risk assessments, recruitment checks and staffing levels supported people's safety.

    “People were safe and protected from avoidable harm. Legal requirements were met.” from the report
  • Good care outcomes

    People's care plans reflected their needs and choices. Staff had the knowledge and skills to provide the planned care, and people received food, drinks and healthcare support.

    “People's outcomes were consistently good, and people's feedback confirmed this.” from the report
  • Improvement since the last inspection

    The home had strengthened its cleaning, kitchen management and quality monitoring systems since the previous inspection.

    “Improvements had been made since the last inspection so that more robust systems were in place for cleaning and management of the kitchen.” from the report
  • Approachable management

    People and healthcare professionals described the managers as approachable and supportive. The home gathered people's views through surveys, conversations and care reviews.

    “People and healthcare professionals described managers as approachable and supportive.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    The coding on medicines administration records was not always consistent. The section for medicines given when needed was also being used for other information.

    “However, the coding system used to record people's medicines on the MARs was not always consistent.” from the report
  • DoLS applications

    needs fixing

    Some applications awaiting authorisation did not include all potential restrictions affecting a person. Staff took immediate action after inspectors raised this.

    “not all DoLS applications awaiting authorisation had included all potential restrictions for a person.” from the report
  • Incomplete records

    needs fixing

    Some fire safety, test evacuation and care planning records had not been signed or dated. Inspectors recommended that the provider review its recording systems.

    “records relating to fire safety checks and test evacuations made around the service and in people's care planning documents had not always been signed or dated.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to ensure medicines administration records use the correct and consistent coding?
  2. 02How do you check that the section for medicines given when needed is used only for that purpose?
  3. 03How do you make sure DoLS applications include every restriction that may apply to each person?
  4. 04What checks now confirm that fire safety, evacuation and care planning records are signed and dated?
  5. 05How will you continue the improvements made to cleaning, kitchen management and quality monitoring since the previous inspection?

This was an unannounced inspection covering all five CQC questions, including the care and premises; inspectors reviewed three care records and a selection of medicines records. This explanation was written from the published report of 2 May 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 Residential Care

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Woodlands Residential Care →

  2. May 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodlands Residential Care →

  3. December 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. April 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. March 2011

    Registered with the Care Quality Commission on 20 March 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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