11 March 2021
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 Care Act 2014.
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.
The inspection was carried out by one inspector.
Service and service type
Copperdown Residential Care home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission, who was on a period of leave at the time of inspection. 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.
Notice of inspection
We gave one hour’s notice so we could clarify the service’s COVID-19 Personal Protective Equipment (PPE) practice for visiting professionals and identify persons who were shielding or COVID-19 positive so we could respond accordingly.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
Due to the national pandemic we completed a focused inspection therefore reducing the time we spent at the service. We spoke with the registered manager, six staff members and two people. During our time at the home we observed staff interactions with people. We looked at three people’s records relating to wound care management, risk assessments, accidents and incidents, infection control measures and service audits. We requested further information after our visit, relating to the governance of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We gained feedback from three relatives.
11 March 2021
About the service
Copperdown Residential Care Home accommodates up to 29 people in one adapted building. At the time of the inspection there were 25 people using the service.
People’s experience of using this service and what we found
People received their medicines safely. However, we found that audit systems in place could not sufficiently identify the numbers of medicines people had in stock.
There was no guidance in place to support staff on escalation processes where peoples recommended fluid intake was not met.
People told us they felt safe in the home.
Relatives gave positive feedback on the care that their loved ones received.
The provider was given further guidance on infection control procedures in 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
The rating at the last inspection was good (report was published on 23 October 2018). You
can read the report from our last comprehensive inspection by selecting the 'all reports' link for Copperdown residential care home on our website at www.cqc.org.uk.
Why we inspected
We received concerns in relation to people's safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 has
changed from good to requires improvement.
We have found evidence that the provider needs to make improvements. Please see the safe and well led
sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
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 discharge our regulatory enforcement functions required to keep people safe and to
hold providers to account where it is necessary for us to do so.
We have identified a breach of Regulation 17 (Good Governance) of the Health and Social Care act 2008 (Regulated activities) Regulations 2014. The registered person had not established an effective system to enable them to assess, monitor and improve the quality and safety of the service provided.
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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.