12 July 2022
During an inspection looking at part of the service
Woodlands Care and Nursing Home is a care home providing personal and nursing care for up to 50 people. The service provides support to both older people and younger adults, including people living with dementia, mental health, physical, and sensory needs. At the time of our inspection 43 people were using the service. The care home is purpose built, accommodating people over two floors.
Peoples' experience of using this service and what we found
The location was taken over by the current provider earlier this year and was inspected 1 February 2022. The number of residents had increased from 14 in February 2022 to 43 at the time of this inspection. The provider had endeavoured to develop a stable management team and implemented an action plan to improve the service.
People’s risk assessments and care plans were not always fully completed or kept up to date which meant staff did not always have information to help to keep people safe. People were at risk of being supported by unsuitable staff as safe recruitment procedures were not always followed.
Improvements to administering people’s medicines safely were identified at this inspection. The manager identified the implementation of a more frequent medicine audit would further improve safe medicine administration for people.
People and their relatives described varying experiences when communicating with the provider. Not everyone was confident to raise concerns with the managers at the service or thought their concerns would be dealt with. Some people were happy with their interactions with the provider staff team.
Mental Capacity Act
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 15 February 2022).
Why we inspected
We received concerns in relation to the deployment of suitable and sufficient staff and peoples' care needs not being met. As a result, we undertook a focused inspection to review the key questions of safe 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.
We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
You can see what action we have asked the provider to take at the end 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.