Background to this inspection
Updated
6 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.
This service was previously inspected on 17 August 2014. At that time we found there were no breaches in regulations. This inspection took place on 11 and 15 February 2016 and was unannounced. One adult social care inspector carried out this inspection.
Prior to the inspection we looked at information we had about the service. This information included the statutory notifications that the provider had sent to CQC. A notification is information about important events which the service is required to send us by law.
Before the inspection, we had asked the provider to complete 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 planned to make. We reviewed the information included in the PIR and used it to assist in our planning of the inspection.
We contacted four health and social care professionals, including a community nurse, GP, occupational therapist and social worker. We were provided with a range of positive feedback which we have included in the body of the report.
During our visit we met everyone living at the home and two relatives. We spent time with the registered manager, duty managers and spoke with five staff. We looked at people’s care records, together with other records relating to their care and the running of the service. This included five staff employment records, policies and procedures, audits and quality assurance reports.
Updated
6 August 2016
This inspection took place on 11 and 15 February 2016 and was unannounced. There were no concerns at the last inspection in May 2013. Woodleaze provides accommodation for up to 28 older people. At the time of our visit there were 21 people living at the service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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 2008 and associated Regulations about how the service is run.
We were introduced to people throughout our visits and they welcomed us. People were relaxed, comfortable and confident in their home. We received positive comments about people’s views and experiences throughout our visits. Two relatives recently wrote in the homes survey, “We as a family are very happy with the care mum receives from all the managers and carers. Woodleaze is a wonderful care home” and “Mother is very happy here, everyone is very friendly and helpful, which is a great bonus in the home. Absolutely fantastic support”.
Staff involved in this inspection demonstrated a genuine passion for the roles they performed and individual responsibilities. Visions and plans for the future were understood and shared across the staff team. They embraced new initiatives with the support of the registered manager and colleagues. They continued to look at the needs of people who used the service and ways to improve these so that people felt able to make positive changes.
People experienced a lifestyle that met their individual expectations, capacity and preferences. There was a strong sense of empowering people wherever possible and providing facilities where independence would be encouraged and celebrated. People’s health, well-being and safety were paramount.
The registered manager listened to people and staff to ensure there were enough staff to meet people's needs. They demonstrated their responsibilities in recognising changing circumstances within the service and used a risk based approach to help ensure that staffing levels and skill mix was effective.
Staff had the knowledge and skills they needed to carry out their roles effectively. They enjoyed attending training sessions and sharing what they had learnt with colleagues. There was an emphasis on teamwork and unison amongst all staff at all levels.
People were supported to enjoy a healthy, nutritious, balanced diet whilst promoting and respecting choice. One person visiting told us, “The food is marvellous and very good quality. I have eaten meals here and it’s as good as our local pub”.
Staff had a good awareness of individuals' needs and treated people in a warm and respectful manner. They were knowledgeable about people's lives before they started using the service. Every effort was made to enhance this knowledge so that their life experiences remained meaningful. People were supported to maintain their personal interests and hobbies.
The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). For people who were assessed as not having capacity, records showed that their advocates or families and healthcare professionals were involved in making decisions.
People received appropriate care and support because there were effective systems in place to assess, plan, implement, monitor and evaluate people's needs. People were involved throughout these processes. This ensured their needs were clearly identified and the support they received was meaningful and personalised.
Regular monitoring and reviews meant that referrals had been made to appropriate health and social care professionals and where necessary care and support had been changed to accurately reflect people's needs.
People, relative and staff feedback was a vital part of the quality assurance system either through annual surveys, ‘residents’ meetings, complaints or reviews. They were listened to and action was taken to make improvements to their quality of life. The registered manager monitored and audited the quality of care provided striving to meet the ever changing needs of people living in the home.