Woodland House

The building deliberately had no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also encouraged to wear their own clothes that didn't suggest they were care staff when coming and going with people.

People were offered a choice of foods and where appropriate, received additional support with their health care needs. Staff worked with external health and social care professionals and ensured people were supported to access these services when they needed them to maintain their health and wellbeing. People were supported to have maximum choice and control of their lives and staff. During inspection we did see that one person was restricted from using a bathroom as the door was locked. Alternative options had not been explored that are less restrictive .

People's support focused on them having as many opportunities as possible for them to gain new experiences and maintain independence. The service was rated as Good in all five key questions at the last inspection in July 2017. However, at this inspection, we found they key questions for Safe, Effective and Well-led were rated as requires improvement. We also found during the inspection that there was a breach of Good governance again with systems not being in place to identify and mitigate any risks to people and failing to ensure the service was compliant with regulations. Also, the registered manager had failed to keep themselves up to date with current regulatory requirements and best practice.