Woodlands Farmhouse

Record keeping had become poor, with some records either not found or possibly not kept. Some other management systems had also been changed but not followed through or completed by managers who had then left.

People, and the service overall, would benefit from a period of management stability and a reintroduction of effective systems and structures to ensure people received high quality care and that any issues or improvements needed were identified and acted upon.

People said they liked the meals but had no real choice. Mealtime experience and menus were therefore going to be reviewed by the provider.

People said they made choices about their day to day lives. There was mixed understanding and application of the MCA by staff so people's legal rights were not always upheld.

People were cared for by staff who required refresher training in some areas. Staff supervision also needed to be improved and sustained.

Medicine management had been improved; people's medicines were managed safely. Regular auditing of medicines was now in place.

People needed to be better protected from the risk of infection. General cleaning of the home needed to be improved and new carpets were needed and were on order. The infection control policy needed to be reviewed to reflect current staff practice.

Staff were recruited safely. There were enough staff to keep people safe but staffing levels and times, particularly in respect of the night shift needed review to ensure people had the care they needed and had genuine choice in their care.

People said they felt safe and would talk with staff if they had any concerns. Staff knew how to report concerns and were confident people were protected from abuse or mistreatment.

Accident and incidents were recorded and reviewed. People's care plans and risk assessments were being updated and reviewed on the on line care planning system.

People said they were happy at the home and knew they could speak to staff about any issues they had. There was a stable, caring staff team. People told us they were happy with their own rooms and the environment had been improved for them over time.

People were supported with their health care and staff said they had a good relationship with health care professionals. The service worked in partnership with other agencies to ensure they provided good care and followed good practice.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk