Woodend Care Home

Updated 21 March 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 completed by 2 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

Woodend 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. Woodend 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 and professionals 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

We spoke with 5 people who used the service and 11 relatives about their experience of the care provided at Woodend. We spoke with 17 members of staff including the registered manager, deputy manager, nurses, senior care workers, care workers, chef, hospitality and activity co-ordinator. We also spoke with 2 visiting professionals.

We reviewed a range of records, including 6 people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service, including quality assurance and incident reports.

We observed the support provided throughout our inspection and viewed the environment of the home.

Updated 21 March 2023

About the service

Woodend Care Home is a nursing care home providing personal and nursing care to up to 79 people. The service provides support to older people, some of whom were living with dementia, over three floors in one adapted building. At the time of our inspection there were 54 people using the service.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People felt safe living at Woodend. Risks were identified and guidance was in place to manage them. People received their medicines as prescribed. There were enough staff to meet people’s needs. Staff were safely recruited. Equipment was regularly checked and serviced in line with legal guidelines. Incidents and accidents were reviewed for any learning to reduce further occurrences. The home was clean throughout and infection control was well managed.

Staff had the training and support to carry out their roles. Staff said the management team were visible in the home and approachable if they needed to speak with them. People’s health, nutritional and hydration needs were being met. Referrals were made to medical professionals when required.

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.

People and relatives said the staff were kind, caring and respectful. Staff knew people’s needs and preferences. People’s cultural needs were met.

Care plans provided guidance for staff in meeting people’s needs. We were told the care and support at the end of people’s lives was good. One care plan had not synced correctly to the hand held devices used by the care assistants. This was resolved and the reasons identified to reduce the risk of it happening again. The activity team had been increased and a planned programme of activities was in place.

A quality assurance system was in place. Regular audits were completed, and any actions identified assigned to a named person with agreed timescales for completion. The provider had oversight of the service through provider audits and frequent visits to Woodend by the regional managers. Relatives said there was good communication with the staff team and any concerns they had were addressed.

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 this service was requires improvement (published 25 September 2020).

Why we inspected

This inspection was carried out to follow up on the requires improvement rating at the last inspection.

Follow up

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