Woodbridge Lodge Residential Home

The service was working with stakeholders, were in the process of improving the service and had an action plan in place. However, not all of these improvements were fully implemented and embedded in practice.

The governance systems were not robust enough to support the provider and management team to independently identify shortfalls and address them. Improvements were being made in this area.

The systems in place to assess and mitigate risk were not always robust enough to keep people safe from abuse and avoidable harm. People were not always receiving their medicines as prescribed. We found bed linen was not always clean and hygienic. We were assured by the operations team these shortfalls were being addressed.

Staff had been recruited safely and the provider had a system in place to calculate the numbers of staff needed to meet people's needs. We received mixed views from staff and relatives relating to the staffing numbers in the service. Improvements were being made in the deployment of staff around the service to be present to support and make checks on people on all floors.

The provider had risk assessments and policies relating to the COVID-19 pandemic. People were supported to have visitors. 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.