CQC report explained · a residential care home
What the CQC found at Woodway House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control, safe staffing and clear visiting arrangements.
This was an unannounced, targeted inspection on 26 January 2022. It focused on infection prevention and control during the COVID-19 response, and on whether staffing pressures affected people.
Inspectors were assured that the home was using protective equipment safely, managing visitors and admissions, carrying out testing, and keeping its infection control policy up to date. They also found safe staffing levels, regular training and checks, and frequent cleaning of high-touch areas.
The home was not given an overall quality rating. The Safe question was inspected but not rated, and the other four areas were not assessed in this inspection.
Safe staffing
The home maintained safe staffing levels and had measures to manage COVID-19-related staffing pressures.
“Safe staffing levels were maintained at the service.” from the report
Staff training
Staff had completed infection control and protective equipment training. The registered manager arranged refresher training and competency checks.
“All staff had completed external health service led training in relation to infection prevention and control (IPC) and correct use of personal protective equipment (PPE), including donning and doffing.” from the report
Cleaning
The home had cleaning schedules and audits. High-touch areas were cleaned at least three times every 24 hours.
“High touch areas were cleaned at least three times every 24 hours with appropriate cleaning products.” from the report
Visiting arrangements
The home had clear visiting protocols and gave visitors information about infection control and protective equipment.
“The service had clear visiting protocols in place and information was provided to all visitors to ensure they were familiar with the service's IPC procedures and PPE policy.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current staffing levels, and how do you cover COVID-19-related staff absences?
- 02What infection prevention and protective equipment training do staff currently receive, and how are their skills checked?
- 03What are the current visiting arrangements and what infection control steps must visitors follow?
- 04How often are high-touch areas cleaned now, and how is this checked?
- 05When was the home's wider care quality last assessed, including caring, responsiveness and leadership?
This was an unannounced targeted inspection of infection prevention and control and staffing pressures; the other quality areas were not assessed and the service was not rated. This explanation was written from the published report of 4 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.
What inspectors found, February 2018
Rated Good; inspectors found kind, safe care, with some records, medicine storage and activities issues to improve.
This was a comprehensive, unannounced inspection on 9 January 2018, followed by an announced visit on 10 January. Inspectors spoke with people living in the home, relatives, staff and visiting health professionals. They also observed care and checked care records, staff files, medicines, training, rotas, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and received the support they needed. Inspectors found caring staff, personalised care plans, appropriate healthcare support, suitable staffing and good systems for safeguarding and managing risks.
The report also identified some improvements. Medicine storage temperatures needed closer monitoring. A stained lounge carpet and dining-room runner were noted, and activities equipment was old or not always suitable. Some meeting records were undated, staff meetings were not regular, and informal issues were not always recorded as complaints.
Kind and respectful care
Inspectors saw staff treating people with kindness, patience and respect. People were supported to make choices and maintain their dignity.
“People who lived at Woodway House were able to develop positive relationships with staff who treated them with kindness and compassion.” from the report
Safe staffing and risk support
Staffing levels met people's assessed needs, and risks were reviewed when people's needs changed. The home also learned from incidents and falls.
“Staffing levels ensured that people's care and support needs were met.” from the report
Personalised care
Care plans included people's life histories, preferences and wishes. Relatives were involved when appropriate.
“People's care plans were centred on their individual needs because they contained information about people's life history and individual preferences.” from the report
Good healthcare and nutrition support
People could access healthcare professionals when needed. Staff supported individual dietary needs, including modified food and thickened drinks where required.
“People received food and drink that met their individual needs.” from the report
Medicine storage temperatures
needs fixingRecorded temperatures in medicine storage rooms were usually 24 degrees, with some days at 25 degrees. The manager said they would discuss improvements with the pharmacy.
“The recorded temperature in the rooms where medicines were stored was routinely recorded at 24 degrees with some days at 25 degrees.” from the report
Activities equipment
needs fixingThe activities organiser said some equipment was very old and not always suitable for people's current needs. The manager said they would look at providing more support.
“Some of my equipment is very old and not always appropriate for current needs.” from the report
Incomplete meeting records
minorRecords of meetings with people were not dated, making it difficult to know when they had taken place. Staff meetings were also not held regularly.
“The records for these were not dated so it was difficult to say when they had taken place.” from the report
Some cleanliness and maintenance issues
minorInspectors found a badly stained lounge carpet and a stained dining-room runner. The runner was replaced, and arrangements were made to replace the carpet.
“We did note that the carpet in the main lounge was badly stained.” from the report
- 01What changes were made to monitor and control the temperatures where medicines are stored?
- 02Has the stained lounge carpet been replaced, and how are cleaning and maintenance issues now checked?
- 03What new equipment or training has been provided for activities?
- 04How are staff kept informed about changes when regular staff meetings are not held?
- 05How do you record and review smaller concerns that do not become formal complaints?
This was a comprehensive inspection covering all five key questions, and all five ratings remained Good from the previous inspection in February 2016. This explanation was written from the published report of 2 February 2018 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 Woodway House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2013
Registered with the Care Quality Commission on 30 May 2013.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Leicestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Together Earther and I supported her to die at home with great dignity and compassion and him to continue with life.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.