11 January 2017
During a routine inspection
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.