We carried out this unannounced inspection of Woodland Court Residential Home on 20 May 2017. Woodland Court is a care home that provides residential care for up to 30 people some of whom were living with dementia. On the day of the inspection there were 27 people using the service. This was the first inspection of the service since being registered with the Care Quality Commission (CQC) in 2016.The service had 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.
On the day of the inspection visit there was a calm and relaxed atmosphere in the service. We observed people had a good relationship with staff and staff interacted with people in a caring and respectful manner. People told us, “I’ve lived here for a while now and I couldn’t ask for more polite, patient and kind staff” and “I choose to stay here in my room but they (staff) are always popping in to make sure I’m OK.”
People and relatives told us they thought Woodland Court was a safe place to live and that staff were kind, friendly and treated people well. They told us that the registered manager was always available and approachable. Comments included, “I have every confidence in the manager. I feel I can speak with (the manager) at any time and they listen to what I say” and “When I leave here I know (Person) is safe and well cared for. It gives me piece of mind.”
People and visitors described the management of the service as open and approachable and generally thought people received a good service. Relatives told us, “We chose this home because it just felt so homely and welcoming” and “It ticks all the boxes for us.”
People told us they were happy with the care they received and believed it was a safe environment. There was a relaxed and friendly atmosphere and we observed people sitting in small groups chatting together and laughing and singing with staff. Some people were unable to tell us verbally about their experiences and we observed they were at ease with staff. Staff sat with people when they had the time and spoke with them in a kind and respectful way.
There were sufficient numbers of suitably qualified staff on duty to meet people’s needs in a timely manner. Staff completed a thorough recruitment process to ensure they had the appropriate skills and knowledge for their role. Staff had received safeguarding training and knew how to recognise and report the signs of abuse. They were confident any concerns would be dealt with. The registered manager had taken action to ensure staff had access to contact information for the local authorities safeguarding team.
The registered manager used effective and systems to record and report on, accidents and incidents and take action when required. There was a medical emergency during the inspection and the registered manager and staff managed to situation in a calm and professional manner.
Staff were supported by a system of induction, training, supervision and appraisals. Staff received training relevant for their role and there were good opportunities for on-going training support and development. More specialised training specific to the needs of people using the service was being provided. For example, dementia care and clinical nutrition support.
The service had safe arrangements for the management, storage and administration of medicines. It was clear from the medicine records that people received their medicines as prescribed.
There were safe recruitment procedures to show staff were suitable and safe to work in a care environment, including Disclosure and Barring Service (DBS) checks. The recruitment process identified applicants had the appropriate skills and knowledge needed to provide care to meet people’s needs.
People received their medicines on time. Medicines administration records were accurate and consistently completed. Staff supported people to access to healthcare services such as occupational therapists, GPs, chiropodists and dieticians.
People were assessed in line with the Mental Capacity Act (2005) where relevant and the management team followed the legislation to help ensure people’s human rights were protected. Best interest meetings were held when people had been assessed as not having capacity to make specific decisions. These involved other professional and family members to help make sure people’s voices were heard. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were able to take part in a range of activities of their choice. There were sufficient numbers of suitably qualified staff on duty and staffing levels were adjusted to meet people’s changing needs and wishes. For example arrangements had been put in place to extend the numbers of night staff in order to meet the needs of people using the service. A family member told us, “I visit most days and am always made to feel welcome by staff. The manager is here more often than not. I am more than satisfied with the support (person) gets here”.
The environment supported people living with dementia. For example signage was throughout the service with pictorial images to indicate the rooms function. An activity board was pictorial to support people and the daily menu board showed pictures of the food available each day.
People and their families were given information about how to complain. There was evidence the registered manager listened and acted on people’s concerns by formally responding to issues raised. There was a management structure in the service which provided clear lines of responsibility and accountability.
There were effective quality assurance systems in place to make sure that any areas for improvement were identified and addressed. Management were visible in the service and regularly observed and talked with people to check if they were happy and safe living at Woodland Court. Overall satisfaction with the service was seen to be positive.
Equipment and supply services including electricity, fire systems and gas were being maintained.