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Canning Court Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 January 2020

About the service

Canning Court is a purpose built home which is registered to provide residential and nursing care for up to 64 older people living with dementia. The home has two floors, a ground floor unit called Hamlet, and the first floor unit called Gower. Most people who lived at Canning Court had limited mobility and/or a diagnosis of dementia. At the time of our inspection there were 38 people living at Canning Court.

People’s experience of using this service

The provider had systems and processes to audit and check on the safety and quality of the service. However, the provider’s quality assurance systems had not been implemented effectively. Audits had been completed, but actions identified had not been followed up. There had been significant changes in the management of the home in the last 12 months which had impacted on the quality of care provided.

There were not always enough staff with the knowledge of people’s individual needs to provide effective and responsive care. Agency staff did not always have the support of experienced permanent staff who knew people well. Risks to people’s health and wellbeing were identified but risks were not always reviewed following significant events. The provider’s policy for reviewing accidents and incidents to identify trends or patterns had not been followed. People received their medicines in accordance with good practice.

A high turnover of staff meant the provider was constantly training new staff who needed time to gain the skills to provide effective care. The provider had recently introduced a more comprehensive induction to support new staff in their role. People’s nutrition and hydration needs were met and they had access to other healthcare professionals to support their healthcare needs.

Overall, 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. Staff used different methods to support people to make choices.

People told us staff were caring and kind and worked hard to meet their needs. Staff were thoughtful when they knew what was important to people. However, a lack of familiar faces meant people regularly received care from staff who did not know them well. Improvements were planned to ensure people did not become socially isolated and everybody had the opportunity to engage in meaningful activities.

A new manager had very recently been appointed and people, relatives and staff had already identified some improvements. The new manager had a rigorous approach to quality assurance and risk management. In the short time they had been in post they had reviewed the standards of care within the home and developed a detailed improvement plan. Some actions within the plan had already been achieved. People and relatives had opportunities to feedback their views on the service they received and overall people and relatives were satisfied with the service provided.

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 29 November 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do, and by when, to improve.

At this inspection not enough improvement had been made to meet the regulations and the provider was still in breach.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was:

Regulation 17 Regulated Activities Regulations 2014 - Good governance

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

Follow up

We will continue to monitor the service to ensure that pe

Inspection areas

Safe

Requires improvement

Updated 28 January 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 28 January 2020

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 28 January 2020

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 28 January 2020

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 28 January 2020

The service was not always well-led.

Details are in our Well-Led findings below.