Canning Court Care Home

Updated 12 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of three inspectors, a specialist nursing advisor in dementia care and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Canning Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Canning Court is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We sought feedback from Healthwatch and an independent advocacy service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with the registered manager, the provider’s area manager, the clinical deputy manager, the area training manager, two nurses, four care staff, two activities co-ordinators, the finance manager and the chef. We spoke with four people and 12 relatives about their experiences of care and two visiting healthcare professionals. We reviewed three people's care plans in detail and specific areas of seven other people’s care plans. We looked at 12 people's medication records, a selection of monitoring charts, and a variety of records relating to the management and governance of the service.

Updated 12 May 2022

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 39 people living at Canning Court.

People's experience of using this service

Canning Court had a new management team who were motivated to provide high standards of care to ensure positive outcomes for people, their relatives and the staff team.

The provider had streamlined their systems and processes to audit and check on the safety and quality of the service. Audits and checks were not filed until any actions identified had been signed off as completed. The provider monitored the service improvement plan to ensure progress was being made.

There were enough staff to provide safe and effective care. New admissions to the home were only accepted if the registered manager was confident there were enough staff with the required skills, knowledge and experience to effectively meet people’s assessed needs. Staff received training and support to meet their role and responsibilities.

People’s individual risks were considered and safely managed. Staff were clear about the importance of keeping people safe and protected and reporting any concerns to senior staff or managers. The home was clean and tidy, and the provider was following up to date guidance to reduce the risks of any infections spreading.

Staff monitored people’s health and wellbeing and referrals were made to other health and care professionals when needed. People were supported to have enough to eat and drink and staff were aware of people’s individual likes and dislikes, allergies and other dietary requirements. Staff followed systems and processes to administer, record and store medicines safely and records showed people received their medicines as prescribed.

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 developed friendly relationships with staff and made many of their own decisions about their daily routines which supported their independence. Staff promoted people’s privacy and dignity by taking time to listen to them and supporting high standards of personal care. People’s engagement with activities was reviewed to ensure they remained relevant and continued to have a positive impact on people's wellbeing.

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 27 January 2020) and there were 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 we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this inspection to check they had followed their action plan and to confirm they now met legal 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 COVID-19 and other infection outbreaks effectively.

Follow up

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