Woodview

Updated 4 May 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 team was made up of one inspector and one specialist advisor. The specialist advisor was a nurse with experience of working with people with a learning disability and autistic people.

Service and service type

Woodview 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. Woodview is a care home without 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

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to meet with us.

Inspection activity started on 9 February 2023 and ended on 13 February 2023. We visited the location’s service on 9 February 2023.

What we did before the inspection

We used information gathered as part of monitoring activity that took place on 3 November 2022 to help plan the inspection and inform our judgements. We used the information the provider sent us in the provider information return. 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 reviewed information we had received about the service since registering with CQC. We sought feedback from the local authority and Healthwatch, Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used all this information to plan our inspection.

During the inspection

We spoke with 4 people’s relatives about their experience of the care provided. We met with the registered manager and the regional manager. We spoke with 5 members of staff.

We observed daily life in the service, including part of the lunch time service. We looked around the building to check environmental safety and cleanliness. We looked at written records, which included 2 people’s care records and 3 staff recruitment records. A variety of records relating to the management of the service were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. This included reviewing some of the provider’s policies and procedures.

Updated 4 May 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Woodview is a care home providing accommodation and personal care for up to 9 adults who have a learning disability and/or autistic spectrum disorder. At the time of this inspection there were 9 people living at Woodview.

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

Right Support:

¿ The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. People were able to personalise their rooms.

¿ Staff supported people to take part in activities and pursue their interests in their local area.

¿ Staff enabled people to access health and social care services.

¿ Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.

¿Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

¿ 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.

¿ Staff supported people to make decisions following best practice in decision-making and staff supported them in the least restrictive way possible and in their best interests; Staff communicated with people in ways that met their needs.

¿ Risks to people were assessed. Accidents and incidents were recorded, and feedback was shared with staff so lessons could be learnt, and practice improved.

Right Care:

¿ People who had individual ways of communicating, such as using body language and sounds could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them. We found people living at Woodview may benefit further with the use of visual cues, such as photographs which would let people know what was likely to happen during the day and who would be supporting them.

¿ There were enough staff deployed to meet people’s care and support needs in a timely way. The provider was working to reduce the need to employ agency staff.

¿ People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

¿ There were systems in place to recognise and respond to any allegations of abuse. Safe recruitment procedures made sure staff were of suitable character and background.

¿ People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.

¿ People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.

Right Culture:

¿ Relatives confirmed the registered manager was approachable. However, we have made a recommendation the registered manager consider best practice guidance on responding to and recording complaints.

¿ The provider had processes in place to assess the quality of support provided to people, involving the person, their families and other professionals as appropriate. However, this was not always analysed and fedback to people.

¿ People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff knew and understood people well.

¿ Staff placed people’s wishes, needs and rights at the heart of everything they did.

¿ Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

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

Rating at last inspection

The last rating for the service under the previous provider was good, published on 15 August 2017.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.