Woodham Lodge

Medicines were recorded and given safely. Staff were trained and checked that people received the right medicine at the right time.

“People received the right medicine at the right time from staff who were appropriately trained to provide this care safely.” from the report

There were enough staff to meet people's needs, including one-to-one support for activities and visits. Recruitment checks were also completed.

“The service had enough staff, including for one-to-one support for people to take part in activities and visits.” from the report

People were supported with balanced diets, personalised menus and regular weighing where needed.

“People received effective support to maintain a balanced diet and personalised menus were available for people.” from the report

Staff had safeguarding training and knew how to report concerns. Records of incidents and accidents were used to share lessons with staff and relevant bodies.

“Staff had training on how to recognise and report abuse and they knew how to handle any allegation of abuse appropriately” from the report

Risk assessments and care records did not always contain the information needed to provide safe care. The report says this increased the risk of harm.

“Potential risks to people were not always assessed, monitored, or mitigated.” from the report

The kitchen refurbishment caused major disruption and created risks. Fire evacuation plans did not account properly for the changes, and areas of the home were being used for storage or food preparation.

“Peoples living environment was disrupted, the dining room was used for food preparation and conservatory area was being used to store the kitchen contents.” from the report

The laundry did not have a clean and dirty system, creating a risk of cross-contamination. Medicine storage was also not always clean.

“The laundry did not have a clean and dirty system in place and cross contamination risks were found.” from the report

Some training was out of date or incomplete, including training linked to people's needs. CQC recommended that the manager review staff training.

“Some staff training needed updating and specific training to meet people's needs was required.” from the report

Some decisions about people's care and living arrangements were not recorded. Two people shared a bedroom without support plans or best-interest decisions in place.

“The culture at the service did not always support person centred practices as two people shared a bedroom and there were no support plans or best interest decisions in place to support this.” from the report

The manager's audits did not identify and deal with problems effectively. Important care, risk and treatment records were missing or incomplete.

“Audits were carried out by the manager. However, these did not identify and address issues effectively.” from the report