Archived: Woodview

Updated 16 September 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 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

Woodview 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. Woodview is a care home with 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 the manager was registered with us.

Notice of inspection

This inspection was unannounced.

What we did before 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. 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

During the inspection we spoke with 6 people who lived at the service and 19 relatives, 6 care staff, 1 nurse, the registered manager, unit manager and the regional support manager. We looked at 9 people's care records in detail and records that related to how the service was managed including staffing, training, medicines and quality assurance.

Updated 16 September 2023

About the service

Woodview is a residential care home providing personal and nursing care to 48 older people, younger adults and people living with a dementia type illness. The service can support up to 60 people. The service is divided into two units. ‘Woodview’ provides care to older people or people living with a dementia type illness and ‘Greenwood’ provides care for younger adults with physical disabilities and longer-term medical conditions.

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

Governance systems and processes were in place. However, these were not always operated effectively. This meant risks and shortfalls were not always identified and addressed.

Risk management was poor. Risks were not identified, assessed or managed well. Meaning people experienced poor outcomes and increased risk of harm.

Care plans did not always contain person centred information. Some care plans contained conflicting information about how to support the person to ensure their assessed needs could be met. We found when reviews took place, any changes to people needs could not be easily located and the care plan was not updated.

Accidents and incidents were recorded by staff. However, reviews and action taken as a result of accident and incidents was not always effective. This meant people were experiencing recurrent accidents and incidents of the same nature.

Medicines management was not always operated effectively. People did not always receive their medicines as prescribed; ‘As and when’ medicines did not always have information for staff about when these should be administered.

There was not always enough staff to meet the needs of people. There was a high dependency on agency staff, increasing the risk of inconsistent care. Safe recruitment systems were in place to ensure staff were suitable to work with people.

Infection control measures were in place and a housekeeping team completed daily cleaning tasks. However, malodours were present, and some areas of the home required repairs and refurbishment. This meant whilst cleaning was completed, the effectiveness of cleaning could not be maintained.

Activities were in place; however further work was need from the provider to ensure these were meaningful and the electronic system for recording activities was reflective of people engagement and involvement of activities.

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

Rating at last inspection

The last rating for this service was good (published 3 April 2020)

Why we inspected

We received concerns in relation to the management of medicine, risk management, leadership and governance. As a result, we undertook a focused inspection to review the key questions of safe, responsive 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 changed from good to requires improvement based on the findings of this inspection.

You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We have identified breaches in relation to risk management, medicines management, learning lessons, person centred care, leadership and governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.