• Care Home
  • Care home

Archived: Woodboro Residential Home

Overall: Requires improvement read more about inspection ratings

29 - 31 Skelmersdale Road, Clacton On Sea, Essex, CO15 6BZ (01255) 420090

Provided and run by:
Mr Emmanual Klotey-Tetteh Collison

Important: The provider of this service changed. See new profile

All Inspections

4 September 2015

During a routine inspection

The inspection took place on 4 September 2015 and was unannounced.

Woodboro Residential Home provides accommodation and personal care for up to 22 older people who may also be living with dementia. The service does not provide nursing care. At the time of our inspection there were 12 people using the service.

The service did not have a registered manager as the responsibility for managing the service was with the registered provider. As a registered person, the provider has legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The day-to-day running of the service was carried out by a manager on behalf of the provider. At the time of our inspection the manager was supported by a consultancy organisation that provided operational support.

There were enough staff who had been recruited safely and who had the skills and knowledge to provide care and support in ways that people preferred. Further improvement was needed to ensure up to date training that reflected current good practice was provided in areas such as dementia.

The Care Quality Commission (CQC) monitors the operation of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) which apply to care homes. We found the manager was following the MCA code of practice but further progress was required with submitting DoLS applications appropriately.

People were safe because staff understood their responsibilities in managing risk and identifying abuse. People received safe care that met their assessed needs.

The provider had systems in place to manage medicines and people were supported to take their prescribed medicines safely.

People’s health needs were managed appropriately with input from relevant health care professionals. Staff supported people to have sufficient food and drink that met their individual needs.

People were treated with kindness and respect by staff who knew them well.

People were supported to maintain relationships with family and people who were important to them so that they were not socially isolated.

There was an open culture in which the manager encouraged and supported staff to develop their skills and to provide care that was centred on the individual.

There were systems in place to check the quality of the service and take the views and concerns of people and their relatives into account to make improvements to the service.

22 April 2014

During a routine inspection

Our previous inspection of 1 November 2013 found that there were improvements needed in the service's recruitment procedures, how they managed their records and how they notified us of incidents that were required by Regulation. As part of this scheduled inspection we checked that improvements had been made to address the identified shortfalls.

We spoke with 10 of the 19 people who used the service. We also spoke with one person's relative, the manager and five staff members. We also spent time in the lounge and observed the care and support provided to people. We looked at five people's care records. Other records viewed included staff training and recruitment records, health and safety checks, staff meeting minutes and satisfaction questionnaires completed by the people who used the service. We considered our inspection findings to answer questions we always ask; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led?

This is a summary of what we found;

Is the service safe?

When we arrived at the service a staff member looked at our identification and asked us to sign in the visitor's book. This meant that the appropriate actions were taken to ensure that the people who used the service were protected from others who did not have the right to access their home.

People told us they felt safe living in the service and that they would speak with the staff if they had concerns.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. We found that staff had been trained to understand when an application should be made, and how to submit one. We saw that the staff were provided with training in safeguarding vulnerable adults from abuse, Mental Capacity Act (MCA) 2005 and DoLS. This meant that staff were provided with the information that they needed to ensure that people were safeguarded.

The service was safe. We saw records which showed that the health and safety in the service was regularly checked. This included regular fire safety checks, this meant that people were protected in the event of a fire. The service was safe, clean and hygienic. Equipment was well maintained and serviced regularly therefore people were not put at unnecessary risk.

We saw the staff rota and dependency levels assessments which showed that the service assessed people's needs to ensure that there were sufficient numbers of staff to meet their needs. People told us that the staff were available when they needed them. One person said, "They (staff) are around when I need them."

We saw that staff recruitment checks were completed to ensure that they were able to work with vulnerable people.

Is the service effective?

People told us that they felt that they were provided with a service that met their needs. One person said, "I am quite happy. I have got nothing to moan about, get everything done for me."

People's care records showed that care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. The records were reviewed and updated which meant that staff were provided with up to date information about how people's needs were to be met.

Is the service caring?

We saw that the staff interacted with people living in the service in a caring, respectful and professional manner. People told us that the staff treated them with respect. One person said, "They (staff) are marvellous."

People who used the service completed satisfaction questionnaires. Where shortfalls or concerns were raised these were addressed.

People's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with their wishes.

Is the service responsive?

People who used the service were provided with the opportunity to participate in activities which interested them. People's choices were taken in to account and listened to.

People told us that they knew how to make a complaint if they were unhappy. However, none had raised a formal complaint. One person said, "No problems at all."

People's care records showed that where concerns about their wellbeing had been identified the staff had taken appropriate action to ensure that people were provided with the support they needed. This included seeking support and guidance from health care professionals, including a doctor and district nurse.

Is the service well-led?

The service worked well with other agencies and services to make sure people received their care in a joined up way.

The service had a quality assurance system and records reviewed by us showed that identified shortfalls were addressed promptly. As a result the quality of the service was continuingly improving.

1 November 2013

During a routine inspection

People we spoke with told us they felt staff treated them with respect and they were happy living at Woodboro Residential Home. We observed staff respecting people's privacy. We saw people were called by their preferred names. One person we spoke with told us: 'It seems like I have lived here forever. The care here is 250%.'

People's nutritional needs were being met at Woodboro Residential Home, people told us they enjoyed the meals. One person told us: 'Lunch was very nice, very nice indeed.'

We noted that there were suitable arrangements in place to ensure people who lived at Woodboro Residential Home were protected against the risk of abuse.

We found that the provider did not have appropriate recruitment systems in place. The provider was not reporting incidents as required by the regulations.

There were inadequate systems in place to ensure records were accurate and maintained.

28 February 2013

During a routine inspection

We spoke with seven people who used the service. They told us that they were happy living in the service. One person said, "They look after us well.' Another person said, 'This is home, you make sure you put that down (pointed to our note book).' Another said, 'I can't fault this place at all. Whatever you want, they see to it.' A person's relative told us, "My (relative) has improved since they moved in here, (relative) is happy."

People told us that the staff treated them with respect and kindness. One person said, 'They (staff) are kindness itself.' Another person said, 'The staff are very good, I can't fault them.' Another said, "They (staff) are a lovely lot." This was confirmed in our observations during our inspection. We saw that staff interacted with people in a caring, respectful and professional manner.

We looked at the care records of four people who used the service and found that people experienced care, treatment and support that met their needs and protected their rights.

12 September 2011

During an inspection looking at part of the service

Where people were unable to provide a verbal response or tell us verbally their experiences, for example as a result of their limited verbal communication or poor cognitive ability, we noted their non verbal cues and these indicated that people were generally relaxed and comfortable and found their experience at Woodboro to be positive.

People with whom we spoke told us that generally they were able to make choices about some aspects of their care. For example, we spoke with two people about how they are supported to choose what to eat each day. They told us that staff offer them a choice of meals each day and can choose where they have these, for example in the comfort of the lounge or in the dining room. They are also able to make a decision as to whether or not they participate in social activities.

Another person who uses this service told us they are able to make decisions about what time they go to bed.

People with whom we spoke confirmed that they were respected and involved by staff.

People also confirmed that they felt happy in the home and if they required any assistance staff would respond promptly.

22, 23 May 2011

During a routine inspection

People told us that overall, they experience good care and are happy with the service they receive at Woodboro.

Some of the people living in the home have limited verbal communication skills. Where people were unable to provide a verbal response or tell us of their experiences, for example as a result of their limited verbal communication or poor cognitive ability, we noted their non verbal cues and these indicated that people were generally relaxed and comfortable and found their experience at Woodboro to be positive. Those people with whom we spoke made the following comments:

'I am happy today', 'I like living here and we all get on' and 'They help me and tell me what to do.'

One person also told us, 'It's very nice here. I find staff always helpful and friendly.'