CQC report explained · a nursing home
What the CQC found at Woodthorpe Manor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about visiting, admissions, PPE, testing, hygiene, social distancing and infection outbreak arrangements. They said the infection control policy needed some work to reflect the home's specific arrangements.
- Effective?
- Good
- This was not covered by the targeted infection prevention and control inspection.
- Caring?
- Good
- This was not covered by the targeted infection prevention and control inspection.
- Responsive?
- Good
- This was not covered by the targeted infection prevention and control inspection.
- Well-led?
- Good
- This was not covered by the targeted infection prevention and control inspection.
What inspectors found, April 2021
Inspected but not rated; inspectors found good infection control arrangements, with some work needed to tailor the infection policy to the home.
The CQC visited the home on 26 March 2021. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.
Inspectors found safe visiting arrangements, support for telephone and video calls, regular contact with the GP practice, thorough testing, appropriate use of PPE and social distancing, and up-to-date infection control training.
Inspectors were assured about the home's arrangements for preventing and managing infections. They noted that the infection control policy was up to date, but some work was needed to tailor it to the home's own arrangements. The service was inspected but not rated, so this report does not give an overall quality rating.
Safe visiting
The home had visiting arrangements designed to support social distancing and reduce infection risks.
“Safe visiting arrangements had been implemented to ensure compliance with social distancing within a safe environment.” from the report
Keeping in touch
Staff helped residents maintain contact with family and friends when visits were not possible.
“If visitors could not attend the home, staff supported people to speak with family and friends via the telephone or video calls.” from the report
Testing and PPE
The home had a testing process for residents and staff, and inspectors found that PPE and social distancing guidance were being followed.
“The home had a thorough testing process for staff and people living there.” from the report
Staff training
Inspectors found that staff training covering infection control was up to date.
“Staff training in all aspects of infection control was up to date.” from the report
Policy needed tailoring
minorAlthough the infection prevention and control policy was up to date, it had been produced by an external agency and needed to reflect the home's own arrangements more closely.
“some work was required to customise this to reflect specific arrangements within the care home.” from the report
- 01How have you customised the infection prevention and control policy to reflect this home's specific arrangements?
- 02How are visits currently organised, and what happens if a family member cannot visit in person?
- 03How often are residents and staff tested, and how are the results acted on?
- 04What infection control training have staff completed and when was it last updated?
- 05What ratings or inspection findings cover effective, caring, responsive and well-led care, since this report did not assess those areas?
This was an announced, targeted inspection of infection prevention and control only; the service was inspected but not rated and the wider quality of care was not assessed. This explanation was written from the published report of 10 April 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, February 2019
Woodthorpe Manor Nursing Home was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced planned inspection on 9 January 2019. Inspectors spoke with seven people living at the home, four relatives and staff. They observed care, checked four care records and reviewed staffing, medicines, accidents, complaints and quality checks.
The home was rated Good overall, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, clean surroundings and good access to healthcare. People were supported with food, activities, communication and their personal routines.
People and relatives described kind and respectful care. Care plans were personalised and included people's preferences, communication needs and end-of-life wishes. The rating remained Good from the previous inspection, published on 2 July 2016.
Experienced staff
The staff team had substantial experience, helping them understand people's needs. Inspectors found enough trained staff on duty.
“Fifty per-cent of the staff had worked at the service for 15 years or more.” from the report
Personalised care
Care plans recorded people's preferred routines, interests and support needs. Inspectors found that staff followed these preferences.
“People's preferred daily routines were set out in their care plans so staff knew how they liked their care and support delivered and when.” from the report
Kind and respectful support
People had good relationships with staff. Staff protected privacy and dignity and encouraged people to do as much as possible for themselves.
“Staff supported people in a way that made them feel they mattered.” from the report
Good oversight
The manager used audits and feedback to check safety, care quality and the condition of the home. The report says improvements were made when things went wrong.
“The home had a comprehensive audit system in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are usually on duty for the current number and needs of residents?
- 02How do you review and update each person's care plan when their needs or preferences change?
- 03How are residents supported to take part in activities that match their interests, faith and communication needs?
- 04How do you make sure medicines are given at the right time and that staff remain competent to administer them?
- 05How are families involved in care reviews and decisions about end-of-life wishes?
This was an unannounced planned inspection covering all five CQC questions, including the premises and the care provided; the previous inspection was also rated Good. This explanation was written from the published report of 22 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.
Every inspection of Woodthorpe Manor Nursing Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Woodthorpe Manor Nursing Home →
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Woodthorpe Manor Nursing Home →
- July 2016Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 3 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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