# William Wood House

*Operated by Orwell Housing Association Limited.*

William Wood House is a CQC-regulated home-care agency in Sudbury.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 15/07/2022

## Practical info

- Postcode: CO10 2AW
- Registered manager: Matthews, Hayley
- Local authority: Suffolk
- Region: East
- City: Sudbury
- Last CQC check: 15/Jul/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care; Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-07-15
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-07-15
- Finding
  - Person-centred choice and autonomy
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: The registered manager worked collaboratively with district nurses, social workers and other professionals.
  - Published: 2022-07-15
- Finding
  - Evidence: Staff used PPE effectively and the registered manager ensured infection outbreaks could be managed.
  - Published: 2022-07-15
- Finding
  - Evidence: The registered manager was passionate about creating a positive culture and held staff and resident meetings.
  - Published: 2022-07-15
- Finding
  - Evidence: People were supported to maintain independence and were involved in planning their care.
  - Published: 2022-07-15
- Finding
  - Evidence: People told us they felt safe living at William Wood House and staff were described as caring and approachable.
  - Published: 2022-07-15
- Finding
  - Evidence: Staff had completed training in the administration of medicines and been assessed as competent before administering medicines on their own.
  - Published: 2022-07-15
- Finding
  - Evidence: Safe recruitment practices were being followed to ensure the right people were employed.
  - Published: 2022-07-15
- Finding
  - Evidence: Medicines were administered in a timely manner and in a way that respected people's preferences.
  - Published: 2022-07-15
- **infection_control** _(moderate)_
  - Evidence: the guidance for testing staff (to test for five days) had not been followed when a member of staff had tested positive for Covid-19.
  - Published: 2022-07-15
- **medication_management** _(moderate)_
  - Evidence: One person had refused some of their medication on a regular basis, but action had not been taken to follow this up with their GP.
  - Published: 2022-07-15
- **governance** _(critical)_
  - Evidence: The providers quality assurance systems had not always been carried out effectively to identify areas for improvement. Not all of the registered managers audits had been completed each month.
  - Published: 2022-07-15
- **incident_learning** _(critical)_
  - Evidence: Accidents and/incidents were not always analysed in a timely manner to see if any action needed to be taken to prevent a reoccurrence.
  - Published: 2022-07-15
- **record_keeping** _(critical)_
  - Evidence: The folder containing the risk assessments and care plans for one person could not be found. This had not been reported to the management team so that it could be replaced
  - Published: 2022-07-15
- **care_planning** _(critical)_
  - Evidence: one person who was diabetic did not have a diabetes risk assessment, in place. Although the care plan stated that the person was diabetic it did not include any information about what support the person needed
  - Published: 2022-07-15

### responsive

- Finding
  - Record keeping and care plan review
  - Published: 2021-10-30
- Finding
  - Complaints handling
  - Published: 2021-10-30
- Finding
  - Personalised care planning
  - Published: 2021-10-30

### safe

- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-07-15
- Finding
  - Staffing and recruitment
  - Published: 2022-07-15
- Finding
  - Preventing and controlling infection
  - Published: 2022-07-15
- Finding
  - Using medicines safely
  - Published: 2022-07-15
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2022-07-15

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2022-07-15
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-07-15
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2022-07-15
- Finding
  - Quality monitoring and governance systems
  - Published: 2021-10-30
- Finding
  - Leadership and management culture
  - Published: 2021-10-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-220311555

HomeCare Compass is an independent guide and is not affiliated with the CQC.