CQC report explained · a nursing home
What the CQC found at Woodview House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, October 2022
Requires Improvement; inspectors found kind, respectful care, but weaknesses in medicines, records, staff checks and management oversight.
This was an unannounced inspection on 7 and 8 July 2022. Inspectors spoke with people using the service, relatives and staff. They reviewed care records, medicines records, staff files, training records and audits, and observed care.
The home was caring, and people were treated with kindness and dignity. Staff knew people well, supported their choices and helped them take part in activities. People were also supported to visit with relatives and to access healthcare.
However, important information was missing or out of date in care plans and risk assessments. Medicines checks, care charts, staff training and supervision were not reliable enough. Quality checks had not found these problems, and the recent change to electronic records had not been managed robustly.
The overall rating was Requires Improvement. Safe, Effective, Responsive and Well-led were rated Requires Improvement. Caring was rated Good. The rating had fallen from Good at the previous inspection, published in November 2019.
Kind and respectful care
Inspectors saw staff treat people kindly, protect their dignity and listen to their concerns. Staff supported people calmly when they became distressed.
“Staff treated people with kindness and respected their dignity when supporting them.” from the report
Staff knew people well
People were supported by a consistent group of permanent and agency staff. Inspectors found that staff understood people's needs and preferences.
“People were supported by a consistent group of permanent and agency staff who knew them well to ensure continuity of care.” from the report
Choice and involvement in daily life
People were offered choices about where to sit and how to spend their time. Staff supported activities linked to people's interests.
“We observed people were given choices regarding where they would like to sit, or how they wished to spend their time.” from the report
Safeguarding response
Staff had safeguarding training and understood their responsibilities. Concerns that had been raised were acted on appropriately.
“Where safeguarding concerns had been raised, appropriate action had been taken.” from the report
Medicines and care records
seriousMedicines protocols and monitoring were not consistently safe. Some care plans, risk assessments and charts were incomplete or out of date, increasing the risk that staff would not have the information they needed.
“The introduction of an electronic recording system for medication and care records was not robust” from the report
Staff training and supervision
seriousThe home had not consistently checked staff competence or provided supervision. Some staff had not completed induction or training for the electronic medicines system.
“The lack of observed practice of staff meant the provider could not be confident staff supported people safely and in line with their care needs.” from the report
Weak quality oversight
seriousAudits and management checks had not identified several problems. Accidents and incidents were dealt with individually but were not reviewed for patterns or lessons.
“Systems and processes to ensure monitoring and oversight of the quality and safety of the service were not operating effectively.” from the report
Limited involvement in care planning
needs fixingThere was not enough evidence that people and relatives were routinely involved in care plans and reviews. Some successful ways of supporting people were also not recorded.
“There was a lack of evidence to demonstrate people and their loved ones were involved in their care plans and reviews of care.” from the report
Infection control shortfalls
needs fixingInspectors were only somewhat assured about visitor checks, PPE use and the premises' hygiene practices. An infection control audit had already identified improvements that were still being addressed.
“On the first day of the inspection, supplies of masks were not available to staff in the entrance area” from the report
- 01What specific changes have been made to medicines protocols, including covert medicines and pain relief patches?
- 02How do you now make sure care plans, risk assessments, fluid charts and positioning charts are complete and up to date?
- 03How are staff competencies checked, particularly for moving and handling and electronic medicines administration?
- 04How are people and their relatives involved in care plan reviews, and how is that involvement recorded?
- 05What is the current management structure, and how are the three breaches being monitored until the improvements are complete?
This inspection considered all five key questions, including infection prevention and control, and looked at both the premises and the care provided; it was prompted by information about medicines risks, while the circumstances of a person's death were not examined. This explanation was written from the published report of 27 October 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.
Every inspection of Woodview House Nursing Home
4 rated inspections over 7 years: the service has held its Requires improvement rating throughout.
- October 2022Requires improvementcurrent ratingSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2021Inspected but not ratedSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2021
Registered with the Care Quality Commission on 27 May 2021.
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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At least 100 live-in carers within about an hour of Dudley
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Most charge £980 to £1,230 a week. 88 can care for a couple. 10 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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