Woodfields Residential Home

Updated 23 June 2023

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 conducted by 1 inspector 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

Woodfields Residential Home 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. Woodfields Residential Home 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 sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used information gathered as part of monitoring activity that took place on 30 January 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service and 4 relatives about their experience of the care provided. We also spoke with 4 staff, the deputy manager, the manager and the registered manager who was also the provider. We reviewed a range of records, these included 5 people’s care records, medicines administration records, as well as governance and quality assurance records. We also looked at 2 staff recruitment files.

Updated 23 June 2023

About the service

Woodfields Residential Home is a residential care home providing personal care to up to 17 people. The service provides support to people living with dementia. At the time of our inspection there were 15 people using the service. The home accommodates people in one adapted building.

People’s experience of using this service and what we found

People did not always receive support with their medicines from trained staff. However, systems used for the management of medicines were effective and people received their medicines as prescribed. Some aspects of the environment required improvement to reduce risks associated with cross infection.

Risks were assessed and managed by staff who knew people well. There were enough staff to meet people’s needs and staff had been safely recruited. There were systems in place to ensure learning took place following incidents and events.

Improvements relating to quality audits and governance had been made since the last inspection. However, further action was required to ensure a proactive approach to identifying concerns and driving improvement. Action to address people’s concerns or queries was not always timely.

People and relatives spoke positively about the home. Staff felt supported in their roles and had the opportunity to share their views in team meetings as well as through one-to-one meetings with the manager. The staff and management team worked alongside other professionals to ensure people’s needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 10 March 2021). The service remains rated requires improvement. This service has been rated requires improvement for the last 3 consecutive inspections.

Why we inspected

We undertook this focused inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. At this inspection we found the provider had complied with the Warning Notice and some improvements had been made. However, we identified a new breach of the regulations.

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 remained requires improvement. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodfields Residential Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to the safe management of medicines at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.