Woodlands Park Care Centre

We identified 2 breaches of the legal regulations relating to safeguarding people from abuse and a failure to notify the Care Quality Commission of certain events, in particular, when the local or funding authority had investigated potential abuse.

We found people had been exposed to potential abuse by other people living at the home. These incidents had been recorded by staff but not all had not been reported to the local authority safeguarding team or the management team. Staff and leaders did not routinely and consistently follow the provider’s policies. For instance, where staff had been hit by people, they did not always complete an incident form. We found lessons were not always learnt from events or signs of distress to prevent a reoccurrence.

However, people told us they felt safe, and this was supported by the views of relatives. The home was clean, and people were supported to receive their medicine as prescribed.

We identified 1 breach of the legal regulations.

Systems were in place to monitor the ongoing quality and safety of the service. However, these were not always effective in ensuring issues from audits were actioned in a timely manner to mitigate risks to people. Records were not consistently well maintained and accurate to promote safe care. We found delays or omissions in reporting of reportable events to CQC and the local authority. Staff and leaders did not routinely and consistently follow the provider’s policies. For instance, where staff had been put at risk of harm by people who were experiencing distress, they did not always complete an incident form.

We received mixed feedback from people and their relatives about the management of the service. Most relatives told us the registered manager maintained good contact with them.

The provider invested in staff and supported them to develop in their role.