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CQC report explained · a nursing home, run by Nestlings Care

Woodhall House

City Gate, Gallowgate, Newcastle upon Tyne, NE1 4PA

Not yet rated

Not yet rated: the CQC has not published a rated inspection for this service, which is usual for a new registration.

The latest report, explained

What inspectors found, April 2024

Woodhall House was inspected but not rated; inspectors found safe medicine storage but serious gaps in medicine oversight and partnership with families.

This was an unannounced, targeted inspection on 06 December 2023. Inspectors looked at concerns about medicine processes and examined parts of Safe, Responsive and Well-led. They spoke with children, relatives, staff, managers and health professionals, observed medicines being given, and reviewed records and policies.

Inspectors found that medicines were stored safely and given in a way that respected young people's preferences. Staff had received medicine training. However, medicine records, policies, audits and procedures were not always accurate or followed. Some physical health monitoring was also incomplete.

The home was not always responsive or well-led. Families and outside professionals were not always included in care planning or told about important changes. The service was not rated because CQC does not rate the regulated treatment provided by a children's home that is also registered with Ofsted.

What inspectors praised
  • Safe storage and administration

    Inspectors found that medicines were stored safely and administered in a way that respected young people's privacy, dignity and preferences.

    People were supported to receive their medicines safely.from the report
  • Staff medicine training

    All staff had completed medicine training and competency checks.

    All staff had received medication training and completed medication competency training.from the report
  • Children's views heard

    Children could raise concerns in regular meetings and at other times. Inspectors found that staff listened and responded.

    Staff listened to concerns raised by children and responded appropriately.from the report
  • Staff support

    Staff told inspectors they felt supported by managers and able to raise concerns. Inspectors also found evidence of mandatory training.

    Staff we spoke to told us that they felt well supported by the management team at Woodhall House.from the report
What inspectors were concerned about
  • Medicine records and procedures

    serious

    Medicine records contained unclear, unsigned or missing information. Procedures for as-needed medicines, medicines taken outside the home and controlled medicines were not always followed.

    We found that handwritten changes had been made to numerous MAR sheets and changes were unsigned.from the report
  • Medicine oversight

    serious

    Medicine audits were completed by the wrong staff and did not identify errors. The report says this continued after the issue had already been highlighted internally.

    The provider's medicines policy states that medicine audits must be completed by a mental health nurse and registered manager.from the report
  • Incomplete health monitoring

    needs fixing

    One child had not received a full physical health measurement since February 2023. The records did not clearly explain why or what attempts had been made.

    One child who had not had a full measurement of physical health since February 2023.from the report
  • Out-of-date policies and scattered records

    needs fixing

    Most policies needed review, and records were stored in different places. This made it difficult to understand how the child's overall care was being delivered.

    The current record keeping system made it a ifficult to understand how holistic care is being delivered.from the report
Questions to ask them, based on this report
  1. 01How are medicine records checked for unsigned changes, missing directions and duplicate entries before medicines are given?
  2. 02Who completes medicine audits now, and how will you show that errors are identified and acted on?
  3. 03How will parents, carers, people with parental responsibility and outside professionals be included in care planning meetings?
  4. 04How will you tell families and relevant professionals promptly about medicine changes?
  5. 05What has been done to complete missing physical health checks and keep the records together?

This was an unannounced targeted inspection of concerns about medicines, covering parts of Safe, Responsive and Well-led; the service was inspected but not rated and Effective and Caring were not included. This explanation was written from the published report of 6 April 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Woodhall House

Each visit the CQC has published, newest first, back to the day the service was registered.

  1. April 2024Inspected but not ratedcurrent rating
    Safe: Inspected but not ratedEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read what inspectors found at Woodhall House

  2. February 2023Inspected but not rated
    Safe: Inspected but not ratedWell-led: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. November 2022Inspected but not rated
    Safe: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  4. July 2022Inspected but not rated
    Safe: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  5. September 2020

    Registered with the Care Quality Commission on 17 September 2020.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

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