Background to this inspection
Updated
30 November 2022
The inspection
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Woodbury Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Woodbury Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
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
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). 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 this information to plan our inspection.
During the inspection
We spoke with 4 people who used the service and 12 relatives about their experience of the care provided. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with 9 members of staff including the registered manager, deputy manager, team leaders and care staff. We also spoke with 4 healthcare professionals who have regular contact with the service. We reviewed a range of records. This included 9 people’s care plans, 5 people’s medicines records, 4 staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service.
Updated
30 November 2022
About the service
Woodbury Court is a residential care home providing personal care to up to 94 people. The service is a large two storey building with a garden courtyard in the middle of the complex. There are five units; Rose, Tulip, Ivy, Jasmine and Lotus providing care to older people and those living with dementia. At the time of our inspection there were 93 people using the service.
People’s experience of using this service and what we found
Risks to people’s safety were assessed and monitored and there were systems in place to safeguard people from the risk of abuse. Processes were in place to manage people’s medicines safely and staff had received medicines training. The provider monitored the deployment of staff across the service to ensure there were enough staff available to support people’s needs.
People and relatives spoke positively about the culture and leadership of the service and the care people received from staff. 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.
The provider had made improvements to people's mealtime experiences since the last inspection. The registered manager continued to review the support people during meals to identify where further improvements could be made.
The provider had implemented safe infection prevention and control processes. Staff had access to appropriate personal protective equipment [PPE] and had receiving training in the management of infection control risks.
Staff were safely recruited and received an induction when starting in their role. Staff completed a range of relevant training to support their understanding of people’s needs and told us they felt supported and valued by the management team.
The provider had effective systems in place to monitor the quality and safety of the service and people, relatives and staff felt comfortable raising any concerns and giving feedback. The provider had built strong links within the local community and worked effectively alongside other health professionals to support people’s health and wellbeing.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 10 March 2020).
At our last inspection we recommended the provider review their arrangements for people's mealtimes and look at best practice guidance in relation to the deployment of staff across all units. At this inspection we found the provider had made improvements.
Why we inspected
We received concerns in relation to the management of people’s healthcare needs, staffing levels and people’s personal care needs not being met. 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.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.