3 January 2020
During an inspection looking at part of the service
Woodlands Neurological Rehabilitation is a residential care home for up to 27 people. At the time of the inspection the service provided personal and nursing care to 19 older and younger people, some with disabilities. The care home accommodated people across three separate wings, each of which has separate adapted facilities.
People’s experience of using this service and what we found
People and their relatives were overall very positive about the service they received and spoke with enthusiasm about the suitability of qualified and skilled staff to meet their needs. The provider followed policy and procedure to maintain the correct skill mix of employees. For example, to support high level clinical decision making due to recent staff turn around. A robust organisational structure ensured staff were available to support and respond to peoples changing needs and to any high-risk situations. Some staff told us they were unsure of their remits associated with their roles. The registered manager had implemented daily ‘huddle meetings’ which provided staff with opportunity to share associated information and raise concerns between managers which helped to provide clarification and feedback.
Training and support was provided and managed electronically to ensure staff had up to date skills and knowledge according to their roles and responsibilities. Where training was due, or had expired, the provider had an action plan with dates planned to bring skills back up to date. There was no impact on people because only staff deemed competent, provided the care and support people required.
Systems and processes were in place and utilised by staff to raise any incidents that affected the health, safety and welfare of people using the service. The registered manager was open and transparent and routinely shared outcomes, actions and other feedback during meetings and memos. Staff told us feedback was used to implement changes to improve the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 6 July 2019).
Why we inspected
We undertook this targeted inspection to check on specific concerns we had about management of staff levels and associated skills to meet people’s individual needs. The overall rating for the service has not changed following this targeted inspection and remains good.
CQC are currently trialling targeted inspections, to measure their effectiveness in following up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections so not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Effective sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Woodlands Neurological Rehabilitation on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.