Woodroffe Benton House

Updated 6 August 2024

Date of assessment, site visits took place on 22 Aug, 27 Aug, and 05 Sept 2024, off site assessment activity ended on 18 Sept 2024. We assessed this service due to medicine management concerns, this is their first assessment, as a result we undertook an assessment of all quality statements. The registered manager oversaw Woodroffe Benton House and another of the provider’s services. They told us of quality assurance processes they had planned to embed but had not yet implemented. Systems did not always instil good practices and learning in response to safety incidents. Some incidents of unexplained bruises to people had not been fully investigated and referred to the local authority safeguarding team. Medicine audits were undertaken, however, action taken in response to concerns were not robust enough to mitigate reoccurrence and reduce errors. Audits did not identify the additional concerns found during our assessment. Staff were recruited safely and mostly received appropriate training and supervision, however, staff who administered medicines had not all been assessed as competent to safely use the newly introduced medicine system. People told us they were happy with the support they received; however, they were not involved with reviews of their care and did not have the opportunity to provide feedback about the service. People were engaged with the programme of activities and could welcome visitors at times to suit them and could use areas of the service or the onsite café to meet their friends and families. We found breaches of regulation in respect of safe care and treatment, safeguarding and governance. You can find more details of our concerns in the safe and well-led findings below. In instances where CQC have decided to take civil or criminal enforcement action against the provider, we will publish this information on our website after any representations and /or appeals have been concluded.

Updated 6 August 2024

Although people were not aware of who was running the service, they told us they felt the service was well-led. Comments included, “I don’t know the manager but it seems well managed in the main, things happen when they are supposed to.” People told us staff followed their preferences and respected their wishes. A person said, “They respect my room as my castle and treat me as a thinking person.” However, people were not always involved in formulating their care plans and were not given opportunities to provide feedback. A person told us, “I know there is a care plan I have never seen it but my daughter has and I believe has had discussions.” People told us they were content living at the service, they gave positive feedback about the staff and said, “I really do feel well cared for, they are always checking that we are alright.” And, “They are very kind and patient.” Staff engaged with people when they needed support to move and position, staff explained step by step how they were going to be supported. A visiting health care professional had also observed this and told us, “I observed 3 members of staff hoist a resident from her bed into her chair. They first gained consent, they took the time to explain to the resident what they were doing throughout hoisting and made sure she was comfortable in her chair. They spent some time after chatting with her and then ensuring that she had everything she needed before they left.” People said they felt safe living in the service. Comments included, “Yes, I feel very safe here, all the staff are very caring and capable.” People told us staff sought input from doctors and healthcare professionals when needed, a person said. “I have had the Doctor and chiropodist and the staff do whatever is prescribed.” While the people we spoke with expressed that they were generally happy with their care, our assessment found elements of care did not meet the expected standards.