• Care Home
  • Care home

Canonbury Residential Home

Overall: Good read more about inspection ratings

19 Canonbury Street, Berkeley, Gloucestershire, GL13 9BE (01453) 511991

Provided and run by:
Excellence In Care Ltd

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Canonbury Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Canonbury Residential Home, you can give feedback on this service.

13 December 2022

During an inspection looking at part of the service

About the service

Canonbury Residential Home is a residential care home providing care for up to 13 older people. At the time of our inspection there were 10 people using the service.

People’s experience of using this service and what we found

Risks relating to the environment were now assessed and an effective audit system was in place in relation to the safety of all areas of the home.

People were protected from abuse and poor care. People were supported by staff who were aware of safeguarding adults' procedures and had received regular training on this topic. Staff told us they were confident any concerns would be robustly addressed.

Risks to people were assessed and managed, and people's needs were fully assessed and understood by staff.

Medicines were managed effectively. Medicines were administered by trained staff and people told us they felt their medicines were administered safely.

Staff received consistent care from staff who knew them well.

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.

The registered manager modelled good practice and led by example. Staff and relatives spoke positively about the leadership within the home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 10 October 2022). At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service (published 10 October 2022). Breaches of legal requirements were found in relation to safe care and treatment and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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 changed from requires improvement to good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Canonbury Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

7 September 2022

During a routine inspection

About the service

Canonbury Residential Home is a residential care home providing personal care to eight people at the time of the inspection. The service can support up to thirteen people.

People’s experience of using this service and what we found

Risks relating to the environment were not always assessed and mitigated, and an effective audit system was not in place in relation to all areas of the home. This placed people at risk of harm. The registered manager responded immediately from our inspection and was developing a system to oversee fire and gas safety, medicines and legionella, where shortfalls were found.

People were supported by staff who were aware of safeguarding adults’ procedures and had received regular training on this topic. A senior staff member said, “All staff know the correct process and route in the event of a safeguarding concern. We do work based training and then the registered manager follows up with us afterwards to check our understanding.”

People, relatives and staff felt well informed and involved in service delivery. They said there was open communication between themselves and the registered manager. The registered manager was formalising this process of further improve the potential to share feedback and experience.

People and their relatives spoke positively about the quality of care provided. Staff treated people with kindness, dignity and respect. People were supported to maintain their independence and empowered to make choices and decisions about their 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 28 July 2021 and this is the first inspection.

Why we inspected

This was a planned inspection based on the service being newly registered.

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.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to regulation 12 (safe care and treatment) and regulation 17 (good governance) at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.