Woodhall Park Nursing Home

Updated 7 February 2018

We carried out this inspection visit 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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At the last inspection November 2016, we asked the provider to complete an action plan to show what they would do and by when to improve the key question ‘is the service safe’ and ‘is the service welled’ to at least good. We found these improvements had been made.

Woodhall Park Nursing Home is a care home. People in care homes receive accommodation and 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. Woodhall Park accommodates 42 people, at the time of our inspection there were 37 people using the service.

This inspection visit took place on the 15 January 2018 and was unannounced. The inspection visit was carried out by one inspector, an expert by experience and a specialist advisor. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. A specialist advisor is a professional who has expertise in a specific area. Our specialist had knowledge and expertise in care for people with dementia.

The provider completed a Provider Information Return as part of the Provider Information Collection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also checked the information we held about the service and the provider. This included notifications the provider had sent to us about significant events at the service. We reviewed the quality monitoring report that the local authority had sent to us. All this information was used to formulate our inspection plan.

Woodhall Park is set in its own grounds and the accommodation is arranged over two floors. There are three lounges with views of the gardens and a large dining room where main meals are served. Bedrooms are situated on both the ground and first floor. There is outside seating to the front and in a small secure garden with raised planting beds off one of the lounge areas.

We spoke with six people who used the service and eleven relatives. Some people were unable to tell us their experience of their life in the home, so we observed how the staff interacted with people in communal areas.

We spoke with four members of care staff, the cook, a domestic, two activity coordinators, two nurses and the registered managers. We also spoke with professionals linked to supporting people at this service; these were the community GP and the advanced nurse practitioner. Their comments were positive and are reflected within the report.

We looked at a range of information, which included the training records to see how staff were trained and the care records of four people who used the service. We also looked at the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement.

Updated 7 February 2018

We inspected this home on 15 January 2018. At our last inspection we found the provider was not meeting all the regulations and we rated the home as Requires Improvements. We asked the provider to complete an action plan to show what they would do and by when to improve the key question ‘is the service safe’ and ‘is the service welled’ to at least good. We found these improvements had been made.

Woodhall Park is set in its own grounds and the accommodation is presented over two floors. There are three lounges with views of the gardens and a large dining room where main meals are served. Bedrooms are situated on both the ground and first floor. There is outside seating to the front and in a small secure garden with raised planting beds off one of the lounges.

The service is run by two registered managers. 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 home offered a friendly atmosphere which people and relatives enjoyed, they were able to personalise their own living space. There were sufficient staff to support people’s needs who were aware of how to keep them safe from harm. Risks had been assessed and measures taken to reduce any risks. Medicine had been managed to meet peoples prescribed needs.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People’s wellbeing had been promoted through referrals to health care professionals. Any advice had been followed to promote good health. People enjoyed the meals and had a choice which reflected their preference and dietary needs. People were protected from having sore skin and their weights had been monitored to ensure they received the required nutritional support to maintain good health.

Staff had established positive relationships which enabled them to personalise the care they delivered. Care plans were person centred and identified people’s preferences and style of care they required to suit their individual needs. People and relatives all identified that staff were caring and kind. They offered respect and when they delivered care it was in a dignified way. When people were nearing the end of their life they received care to support their wishes.

The home had a complaints procedure; however the home had not received any complaints since our last inspection. People’s views had been considered and they had been involved in developing the care they received. Improvements had been planned to the home which would provide better facilities and consideration of people’s dignity when they received care.

Staff felt supported in their role and had received training and inductions to enhance their skills. When staff joined the home they were checked to ensure they were suitable to work with people. All those using the home felt it was well run. The registered managers completed regular audits to identify areas of improvements. When incidents occurred the learning had been shared to reduce the risk of it reoccurring. The registered managers understood their roles to meet their registration and had notified us of events. They had displayed the previous rating in the home and on the provider’s website.