Woodbine Manor Care Home

Updated 27 March 2021

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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 16 March 2021 and was announced.

Updated 27 March 2021

This inspection took place on 3 July 2018 and was unannounced.

Woodbine Manor Care Home is registered to provide accommodation and care for up to 29 older people who live with dementia. It is situated in a residential area of Bognor Regis in West Sussex. At the time of this inspection, there were 29 people living at the service. Woodbine Manor is a ‘care home’, people in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is purpose built and accommodation is provided over two floors in single occupancy rooms. A passenger lift provides access between the floors. There is a dining room on the ground floor and two communal lounges, one on the ground floor and one on the second floor.

We observed seating areas along the hallways where people could rest. Books were available to read and windows where people could sit and look outside. Two resident cats, Daisy and Dylan, were popular with people living at the service. In June 2017 the service installed a replica pub in the garden for people to use.

The appointed manager registered with the Care Quality Commission in February 2017. 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. The registered manager was not present during the inspection visit; however, we spoke to them after the inspection.

When we completed our previous inspection on 17 February 2017, we found concerns relating to there being no systems in place for auditing care plans and people’s behaviour monitoring charts had not been fully completed. Systems to assess, monitor and improve quality and safety of the service, ensuring people's needs were properly monitored and reviewed to inform their care planning, were not effective. After this inspection the provider sent us an action plan describing what they had done to ensure compliance with the legal requirements.

On 3 July 2018 we found that the provider had followed their action plan and had made significant improvements. Robust management systems were now in place to assess, monitor and improve the quality of the service. Incidents and accidents were recorded and reviewed and risk assessments for people contained advice and guidance for staff on how to manage and mitigate potential risks to people.

Staff were trained in adult safeguarding procedures and knew what to do if people were at risk of abuse or if they needed to raise a concern. People told us they felt safe at the home.

There were sufficient staff to meet people's needs and keep them safe. The registered manager used a dependency tool to determine staffing levels. Information was reviewed following falls or changes in a person's health condition.

Policies and procedures were in place to ensure the safe ordering, administration, storage and disposal of medicines. Medicines were managed, stored, given to people as prescribed and disposed of safely.

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 support this practice.

Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and people were encouraged to make decisions about their care and treatment. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible.

The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care services. The members of the management team and care staff we spoke with had a full and up to date understanding of DoLS. These safeguards protect the rights of adults by ensuring that if there are restrictions on their freedom and liberty these are assessed by appropriately trained professionals. Appropriate DoLS applications had been made, and staff were acting in accordance with DoLS authorisations.

Staff had received training relevant to people’s needs and many had achieved or were working towards a Health and Social Care Diploma (HSCD). Staff attended regular supervision and team meetings.

People had enough to eat and drink and were offered a choice of food and drinks throughout the day.

The home had been decorated and arranged in a way that supported people with dementia to live independently.

Staff were caring, knew people well, and treated people with dignity and respect. Staff acknowledged people's privacy and had developed positive working relationships with them.

Relatives spoke positively about the staff at Woodbine Manor Care Home and told us they were involved in developing the service through meetings and annual surveys.

A range of activities met people's interests and facilitated their hobbies.

Complaints were listened to and managed in line with the provider's policy.

Staff felt the registered manager was very supportive and said there was an open-door policy.

Relatives spoke positively about the care their family members received and people told us they were treated with dignity and respect.