14 April 2023
During an inspection looking at part of the service
About the service
Woodham House Stanstead is a care home that provides care and support for up to six people with mental health needs, people with learning disabilities and autistic people. At the time of the inspection there were 6 people using the service.
People’s experience of using this service and what we found
Right Support: Risks to people’s health and wellbeing were managed well and people were included in the risk management processes. The provider supported people to take their medicines safely. There were adequate infection control processes in place. Staffing levels were sufficient to maintain people’s safety and ensure their health and social needs were met.
Right Care: Staff understood people’s cultural needs and supported people in line with their needs and preferences. Staff had support and ongoing training to ensure they had the skills to meet the needs of people. However, we have made a recommendation about providing positive behaviour support training. People told us they were supported to achieve goals and their cultural needs were upheld.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people lead confident, inclusive and empowered lives. The provider worked in partnership with other health and social care professionals to review people’s care and support plans. There were processes in place to gather feedback from people, their relatives and professionals. We received positive comments about how the registered manager led the team to provide person-centred care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We have made a recommendation about recording best interests’ decisions.
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 4 April 2020).
Why we inspected
The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of violence and aggressive behaviours. This focused inspection was carried out to seek assurance that people were being protected from harm.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.
Recommendations
We have made recommendations about providing positive behaviour support training and improving the process of recording best interests decisions.
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.