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Country Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 July 2021

About the service

Country Court is a large single storey residential care home providing personal and nursing care to a maximum of 34 older people and people living with dementia. At the time of the inspection 20 people were using the service.

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

Medicines were not always managed well. Some people had missed several doses of medication as these had not been ordered or received in a timely manner. Codes used to identify if medicines had been given were not always consistent.

Quality assurance systems were in place but did not always identify actions which needed to be taken to address shortfalls and ensure people were being supported safely. We have made a recommendation about the quality assurance processes.

People told us they felt safe. Safeguarding processes were in place and staff were knowledgeable about how to raise any concerns.

Care plans and risk assessments for people’s health needs contained detailed person-centred information and informed staff how to manage and mitigate potential risks to people.

Safe recruitment processes were in place. Staff completed an induction, they received relevant training and told us they were well supported by the manager.

People told us they liked the meals provided; They were offered choices and alternatives to ensure nutritional needs were met.

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.

People had access to a range of health professionals, which included GP’s, district nurses and dieticians, when required.

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 03 February 2021).

At this inspection enough improvement had not been made and the provider was still in breach of regulations. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

We carried out an unannounced focused inspection of this service on 03 December 2020. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and governance.

We undertook this focused inspection to follow up on specific concerns which we had received about the service in relation to staff training and nutrition and 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, Effective and Well-led which contain those requirements.

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 coronavirus and other infection outbreaks effectively.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service remains requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Country Court on our website at www.cqc.org.uk.

Enforcement

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 to keep people safe and to hold providers to acc

Inspection areas

Safe

Requires improvement

Updated 9 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 9 July 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 July 2021

Responsive

Good

Updated 9 July 2021

Well-led

Requires improvement

Updated 9 July 2021

The service was not always well-led.

Details are in our well-Led findings below.