Woodland Nursing Home

Updated 4 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Woodland Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Woodland Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with six people who used the service and three relatives. We spoke with five staff; the registered manager, area manager, a nurse and two health care assistants. We observed how staff interacted with people. We reviewed six sets of care records relating to people and multiple medicines records. We reviewed records relating to the management of the service, including a range of policies and procedures.

Updated 4 January 2023

About the service

Woodland Nursing Home is a residential care home providing personal and nursing care to up to 30 people. The service provides support to older people, some of whom are living with dementia and some require support with nursing care. At the time of our inspection there were 30 people using the service. The service is built over 4 floors. The kitchen and laundry room are on the lower floor [in the basement], and people live on the upper three floors. There is one communal lounge and dining area on the ground floor.

People’s experience of using this service and what we found

Risk assessments and care plans did not always cover people’s needs in relation to epilepsy and diabetes, and when they did, they did not always contain sufficient information. Quality assurance systems were in place, but these were not always effective, as they had failed to identify the shortfalls we found in relation to care plans and risk assessments.

There were enough staff to support people and robust staff recruitment practices were followed.

Medicines were managed in a way that was safe. Systems were in place to protect people from the

risk of abuse. Steps had been taken to ensure the physical environment was safe. Lessons were

learnt when things went wrong. The home was clean and infection control and prevention measures were in place.

People were supported to have maximum choice and control of their lives and staff supported

them in the least restrictive way possible and in their best interests; the policies and systems in the

service supported this practice.

The provider was aware of their regulatory requirements and worked with other agencies to

develop best practice and share knowledge. Staff spoke positively about the management of the

service and the working atmosphere. Managers and staff were clear about their roles.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Requires improvement (published 26 July 2019). At our last inspection we recommended that the provider review its quality assurance systems to make them more effective. At this inspection we found that quality assurance systems were still ineffective, and we have made a requirement about this.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 12 June 2019. At that inspection we rated the service Requires improvement and made a recommendation about their quality assurance processes. We undertook this focused inspection to check if they had made improvements. This report only covers our findings in relation to the key questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained Requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodland Nursing Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to the quality of risk assessments and the quality assurance and monitoring processes at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.