Background to this inspection
Updated
18 March 2021
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 Care Act 2014.
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
This inspection was carried out by two inspectors.
Service and service type
Woodland View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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 other professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
During the inspection we spoke with seven people’s relatives. We spoke with seven members of staff including carers, senior carers, nurses and the registered manager. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found, and reviewed documents we had requested off-site. We reviewed any further information from staff and relatives received.
Updated
18 March 2021
About the service
Woodland View is a purpose-built residential care home providing personal and nursing care to a maximum of 60 people. This includes support for older people, younger adults, people with physical disabilities and people living with dementia. At the time of the inspection, there were 47 people living at Woodland View.
Woodland View accommodates people across four separate units, each of which has separate facilities, including dining rooms and lounges. One of the units specialises in providing care to people living with dementia.
People’s experience of using this service and what we found
Potential risks to people were being effectively assessed and mitigated. People’s care plans and risk assessments were up to date. They had been reviewed to make sure the service had accurate information on people’s preferences and needs, including in relation to COVID-19. People’s medicine was being managed safely, ensuring people could access the medication they require. Staff were safely recruited. The registered manager undertook a regular analysis of themes and trends relating to incidents. When improvement was needed, lessons learned was communicated to staff in team meetings. Staff had access to sufficient supplies of personal protective equipment (PPE) and used this in line with government guidance. We recommended some improvements to PPE ‘donning and doffing’ areas which the manager completed straight away.
The registered manager had oversight of governance and quality assurance processes at Woodland View, regular audits were carried out. Staff told us they felt supported by management and felt able to raise any concerns they might have. People’s relatives were complimentary about the service and the quality of care people received. The registered manager had ensured people living at Woodland View could still share their views about the service when self-isolating during the pandemic.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was requires improvement (published 11 June 2019).
Why we inspected
We received concerns about the management of the service, including assessing and responding to risks to ensure people are safe from the risk of harm and Infection Prevention and Control (IPC). As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating 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 coronavirus and other infection outbreaks effectively.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We found no evidence during this inspection people were at risk of harm from this concern. Please see the safe and well-led sections of this full report. Where we made recommendations to the registered manager, action was promptly taken.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodland View on our website at www.cqc.org.uk.
Follow up
We will continue to monitor the information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.