Background to this inspection
Updated
15 March 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions in response to concerns raised to us. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2014 and to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection was carried out by three inspectors, two specialist advisors and an expert by experience. The specialist advisors were a tissue viability nurse and a nurse with expertise in supporting people with dementia related nursing needs. An expert by experience is someone with personal experience of having used a similar service or who has cared for someone who has used this type of care service.
Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us. We spoke with the local authorities commissioning and safeguarding adult’s teams, and reviewed the outcome of recent visits by these teams.
During the inspection we spoke with 22 people who used the services, 15 staff members, five relatives, the registered manager, deputy manager and the regional manager. We also received feedback from professionals involved in supporting people who used the service and reviewed the recent reports from service commissioners. We viewed information relating to 13 people’s care and support. We also reviewed records relating to the management of the service.
Updated
15 March 2017
This inspection was carried out on 11 January 2017 and was unannounced. We asked for further information and assurances to also be provided to us on 17 January 2017 due to the nature of the concerns identified. We returned to Woodlands View on 27 January 2017 to meet the Registered Manager to further discuss the inspection findings.
We carried out this inspection due to concerns received about the service. These concerns related to poor management of pressure care, insufficient staffing levels and unsafe care practises. At their last inspection on 23 April 2015 the service was found to be meeting all the standards we inspected and was given a rating of good. At this inspection we found that they were not meeting all of the standards. This was in relation to people’s safety and welfare, staffing, cleanliness, person centred care and management systems. You can see what action we took at the back of our report.
Woodlands View provides accommodation and personal care for up to 120 people. At the time of this inspection 114 people were living at the service.
The service had a manager in post who had recently registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated regulations about how the service is run.
People did not always receive care that met their needs and kept them safe. People had not been supported by sufficient numbers of staff, however action had recently been taken to address this. Risks to people’s health and wellbeing had not been consistently identified and responded to. Staff were knowledgeable about how to keep people safe from harm.
People were not consistently supported to have a varied diet. People at risk of poor nutrition did not always have their needs responded to and people were not consistently able to access specialist healthcare professionals, particularly the dietician. People's consent was sought prior to care being delivered, however the requirements of the Mental Capacity Act 2005 had not always been followed. People were supported by staff that had been sufficiently trained to carry out their role effectively.
People’s dignity and privacy was not consistently met across the home, particularly for people who were cared for in bed. People felt staff were caring and kind in their interactions; however also felt that staff did not have time to meet their personal preferences that were important to them.
People were not provided with sufficient opportunities to engage in activities, hobbies or interests. People living with dementia did not live in an environment that promoted their independence or engaged them with meaningful activity. People felt confident in raising a complaint, however, opportunities to do so, such as meetings were not consistently held and people did not all know who the appropriate manager was to raise them with.
People gave mixed views about the management of the service, and some people felt the registered manager was not visible. Audits and systems in place to monitor and improve the quality of care people received had not been effectively managed. People’s records were not consistently accurate. The views of people living in the home had been previously sought; however the Registered Manager was awaiting the results of the recent survey. Notifications that were required to be submitted to CQC had been made without delay.