Background to this inspection
Updated
10 June 2022
Inspection team
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.
Inspection team
The inspection was carried out by three inspectors
Service and service type
Woodland Villa is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Before the inspection, we reviewed information we held about the service and the provider which included any statutory notifications sent to the CQC. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the provider information return. 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 of this information to plan our inspection.
During the inspection
During the inspection we reviewed six people's care plans and risk assessments. We looked at three staff files in relation to recruitment. We reviewed staff training and supervision. We also reviewed other records relating to the management of the service, including complaints received. We met with the registered manager, the matron and the administrator.
We spoke on the phone with two relatives of people who were living at Woodland Villa, about their experience of the care provided. We spoke with five people and eight staff during the inspection.
Updated
10 June 2022
About the service
Woodland Villa is a residential care home providing personal care to up to 53 people. The service provides nursing and residential care to older people who may have a physical disability. At the time of our inspection there were 42 people using the service.
People’s experience of using this service and what we found
Risks were identified, assessed and recorded. Care plans were completed for each person and contained details of the person's needs and preferences.
There were sufficient staff to support people. The service was fully staffed with no vacancies. The service was not using any agency staff at the time of this inspection. Recruitment procedures were robust.
People told us they felt safe with staff. There were systems to help protect people from abuse and to investigate any allegations, incidents or accidents.
People were supported by staff who had been appropriately trained and were skilled in their role. Staff told us they felt well supported. Relatives comments included, “They (Staff) have worked wonders with (Person’s name). They went in at what we were told was ‘the end of their life’, and now they have done a complete turnaround and are now so much better. The care she has received has been exceptional. (Person’s name) was one of those people who never wanted to go into a home. Now she is enjoying it so much, she is frightened she may be asked to leave?”
People's care and support needs were assessed before they started using the service. People received support to maintain good health and were supported to maintain a balanced diet where this was part of their plan of care.
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.
Staff understood the importance of respecting people's diverse needs and promoting independence.
Mental capacity assessments had been carried out where it was indicated. Deprivation of Liberty Safeguards (DoLS) authorisations had been applied for appropriately.
There were robust auditing or monitoring processes in place at the time of this inspection. The service had implemented effective quality assurance systems to monitor the quality and safety of the care provided.
Staff were well supported and we able to access the management team whenever they needed any assistance or guidance. Staff comments included, “I like working here it’s a good place” and “I love the residents, they all have their own characters.”
People told us they liked living at Woodland Villa and that the staff were caring and responded when they called. Comments included, “We are both very happy with care provided and have no issues,” “Now I can’t grumble about the food, its excellent, if I don’t want the food they get me something else” and “Staff are lovely and kind, I have no worries here, if I did then I can talk to staff.”
People were asked for their views by the management team. People’s comments included, "I am very happy here, I am just here for assessment at the moment, but I hope I can stay. They asked me to hold Sunday church services in the home each week, as long as I feel well enough it is good for me and for them," "The food is good and I can have what I like to eat" and "Staff are great always around and easily contacted when I need them."
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published19 September 2018).
Why we inspected
We received concerns in relation to people’s access to diet to fluids, poor continence care, poor communication, slow staff response to people’s changing needs, poor infection control practices and an environment in need of repair. As a result, we undertook a focused inspection to review the key questions of Safe, Effective and well-led only.
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 not changed following this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodland Villa on our website at www.cqc.org.uk
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.