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CQC report explained · a residential care home

What the CQC found at Woodwell House

Goodpublished 6 June 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed. This included the use of protective equipment, testing, cleaning, social distancing, visiting controls and an up-to-date infection-control policy.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors found strong infection-control measures during the pandemic.

Inspectors visited the home on 11 November 2020 as part of a national review of infection prevention and control in care homes. The visit was announced.

They found clear steps to reduce infection risks. The home was exceptionally clean, staff used protective equipment correctly, and cleaning checks were carried out. Staff had training and enough protective equipment.

Staff helped people understand protective equipment by using simple information and giving them time to examine it. People were supported to keep in touch with their families by phone, video calls and some outdoor visits.

The home was inspected but not rated overall. The Safe question was also inspected but not rated. This report does not assess the other four questions.

What inspectors praised
  • Infection control

    Inspectors found clear measures to prevent and manage the spread of infection. The premises were exceptionally clean, with enhanced cleaning programmes and checks.

    “Staff carried out enhanced cleaning programmes and checks to reduce risk and avoid the potential spread of infection.” from the report
  • Protective equipment

    Staff used protective equipment safely and had received infection-control training. The provider had enough supplies.

    “Staff had received training in infection prevention and control and were confident in the safe use of PPE.” from the report
  • Supporting understanding

    Staff explained protective equipment to people in ways that helped reduce anxiety. They used easy-read and picture-based information and allowed people to examine the equipment.

    “In addition, staff gave each person time to touch and examine the PPE before staff began to wear it.” from the report
  • Family contact

    People were supported to stay in touch with relatives through phone and video calls. Some outdoor meetings had also taken place.

    “People were supported to keep in touch with families.” from the report
  • Staff continuity

    Staff received regular support, and many had worked at the service for years. No agency staff had been used since the start of the pandemic.

    “Staff received regular ongoing support and many staff had worked at the service for years.” 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 visitors currently managed, and what infection-control steps must visitors follow?
  2. 02How often are enhanced cleaning programmes and checks carried out?
  3. 03How do staff explain protective equipment and infection-control changes to each person?
  4. 04How can people keep in touch with their families, including visits and video or phone calls?
  5. 05What testing arrangements are currently in place for people using the home and for staff?

This was an announced thematic review of infection prevention and control under the Safe question; the home was inspected but not rated and the other four questions were not assessed. This explanation was written from the published report of 4 December 2020 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, June 2018

Woodwell House rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.

The unannounced inspection took place on 8 May 2018. Inspectors reviewed three support plans, observed care, spoke with one relative and five staff, and checked records including fire and quality audits. People were spoken with, but their communication needs meant they could not give detailed verbal feedback.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines support, suitable health and nutrition support, kind relationships and activities matched to people's needs.

The previous inspection rated the service Requires Improvement and found two breaches. At this inspection, inspectors found that conditions on Deprivation of Liberty Safeguards authorisations were being met and that quality checks had improved. The ratings for Effective and Well-led therefore improved to Good.

What inspectors praised
  • Safe medicines support

    Medicines were kept securely, stock was checked and administration records were monitored for errors or omissions.

    “People received safe support with their medicines; these were stored securely and stock checks taken regularly.” from the report
  • Personalised care

    Support plans covered communication, personal care, behaviour and individual goals. Staff understood what could make each person anxious and how to support them.

    “People had clear person centred support plans in place.” from the report
  • Kind relationships

    Staff knew people well and supported them in a calm and respectful way. Families could visit and remain involved where appropriate.

    “People were supported by staff who were kind and caring in their approach and treated people with dignity and respect.” from the report
  • Activities and independence

    People were supported to take part in varied activities and to develop everyday skills, such as preparing snacks.

    “People had opportunities to take part in a wide range of activities in accordance with their needs and wishes.” from the report
  • Improved oversight

    Quality checks had improved since the last inspection and were being used to identify issues and make changes.

    “Regular checks were made of the environment, medicines and care plans. These were used effectively to identify issues and make improvements.” from the report
What inspectors were concerned about
  • Risk assessment wording

    minor

    One risk assessment suggested that physical restraint might be used outside the home, although senior staff said this was not happening. They agreed that the wording was misleading and said they would review it.

    “the wording in the risk assessment was misleading and told us they would review it.” from the report
Questions to ask them, based on this report
  1. 01How have you changed the risk assessment wording about physical restraint, and what training do staff now have on this?
  2. 02How will you communicate with my relative if they cannot give detailed verbal feedback?
  3. 03How will you support my relative's individual communication methods, including any use of BSL, Makaton or picture-based communication?
  4. 04What activities and daily goals would be available for my relative, and how would their choices be recorded?
  5. 05How will you keep me involved in care planning and decisions if my relative cannot make a particular decision?

This was an unannounced inspection of all five key questions, including observations, conversations and checks of three support plans and service records. This explanation was written from the published report of 6 June 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.

The story over the years

Every inspection of Woodwell House

3 rated inspections over 3 years: the service has held its Good rating throughout.

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Woodwell House →

  2. June 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Woodwell House →

  3. April 2017Requires improvementdown from Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 1 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.

Next steps

Weigh the report against the rest

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