19 January 2023
During an inspection looking at part of the service
Woodleigh Rest Home is a residential care home providing personal care to up to 33 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 19 people using the service.
People’s experience of using this service and what we found
People were not safe. Medicines were not managed safely. Routine checks were not in place and we were not assured people received their medicines as prescribed. Risks to people’s health and safety and wellbeing had not been effectively assessed and reviewed. This included risk relating to moving and handling, skin integrity and the environment. People’s nutritional needs were not always met.
The manager was unable to demonstrate effective leadership. This had not been effectively addressed by the provider and they were unable to demonstrate robust governance arrangements and evidence of lessons being learned. Specific issues we raised at the last inspection had not been addressed.
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.
Staffing levels had been increased and staff had received support, training and supervision to carry out their role. Recruitment was managed safely. Most people and relatives told us they felt safe and there were enough staff to meet people’s needs. Staff were kind, respectful and caring.
The service had made some improvements since the last inspection. However, they were not consistent and some initial improvements had not been sustained. The provider was responsive to the inspection findings and provided assurances they would make the required changes to improve the quality and safety of care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was inadequate (published 25 July 2022) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.
Why we inspected
We carried out an unannounced inspection of the service on 14,16 and 27 June 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. The report only covers our findings in relation to the Key questions Safe, Effective and Well-Led.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from Inadequate to Requires Improvement based on the findings of this inspection
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodleigh Rest Home on our website at www.cqc.org.uk..
Enforcement
We have identified breaches in relation to the management of risk and medicines, nutrition and hydration and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Special Measures:
The overall rating for this service is ‘Requires improvement’. However, we are placing the service in 'special measures.' We do this when services have been rated as 'Inadequate' in any Key Question over two consecutive inspections. The ‘Inadequate’ rating does not need to be in the same question at each of these inspections for us to place services in special measures. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.