Updated 18 June 2024
Date of assessment 15 August to 19 August 2024. Woofferton Residential Care Home is a care home providing personal care for up to 15 people, some of whom live with dementia. This assessment was prompted in part by notification of an incident following which a person using the service allegedly sustained a medicines overdose. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of unsafe medicines management. The assessment was also carried out in response to concerns shared with us by the local authority around staffing levels. We found 1 breach of the regulations in relation to governance. Governance systems and audits were not always effective in identifying discrepancies or addressing areas for improvement. Quality check systems failed to identify where risks had not always been assessed, where mental capacity assessments had not been undertaken when needed and where medicines had not always been administered as prescribed. Staffing levels were not always sufficient to ensure people’s needs were met safely. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.