What the CQC found at Woodrow Retirement Home Limited

People and relatives spoke highly of the staff and management. Staff responded respectfully when people were anxious.

“People and their relatives were positive about the care and support people received and spoke highly of the staff and management team.” from the report

Although records were not always accurate or up to date, staff showed good awareness of people's individual care and support needs.

“However, staff demonstrated a good awareness and understanding of people's individual needs.” from the report

People and relatives said staff responded quickly. Inspectors observed enough staff to support people safely during the inspection.

“Throughout the inspection we observed there was sufficient numbers of staff to support people safely.” from the report

The management team made referrals to healthcare professionals, and staff worked with outside professionals to support people's care.

“People achieved positive outcomes and were supported effectively due to staff working well with external healthcare professionals involved in people's care and support.” from the report

Medicines recording systems did not show reliably that people received medicines as prescribed. The home had not carried out medicines audits at the time of inspection.

“This meant we could not confirm the number of medicines in stock nor were we able to verify people always received their medicines as prescribed.” from the report

Some care and risk records did not reflect people's changing needs. One person had no risk assessments despite fragile skin and poor mobility.

“People were placed at risk of unsafe care as their care needs and associated risks had not been routinely assessed, updated and monitored.” from the report

Employment histories, identification and references were missing or inadequate in some staff files. This meant recruitment procedures were not consistently safe.

“Proof of ID was missing in one of the files and only two staff files had adequate reference checks.” from the report

Everyone had been assessed before admission, whether or not they could consent. Inspectors said this did not follow the principles of the Mental Capacity Act.

“As a result of this, everyone living at the service had their mental capacity assessed prior to admission into the service regardless of whether they had the mental capacity to consent to their care, treatment and support.” from the report

Audits and monitoring systems did not identify or correct problems in medicines, care records, incidents and legal compliance. The manager's additional duties affected oversight.

“Robust systems and processes were not in place to demonstrate the provider had effective oversight of the service.” from the report

The home required visitors to be vaccinated against COVID-19, which inspectors said was not in line with legal requirements. The management team said they would address this.

“Although visitors were welcomed at the service the provider had insisted visitors were vaccinated against COVID 19.” from the report