You are here

Cypress Court Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 August 2019

About the service

Cypress Court is a residential care home providing personal and nursing care to 54 people aged 65 and over at the time of the inspection. The service can support up to 60 people across two floors, each of which has separate adapted facilities. One of the floors specialise in providing nursing care.

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

Not all people had the necessary risk assessments or care plans in place to ensure they were receiving safe care and treatment and handover records were insufficient to demonstrate staff could support people safely.

Audits were ineffective at picking up the issues we identified during the inspection and the registered manager did not have sufficient oversight of people’s needs. We also found that improvements the provider was required to make following the last inspection had not been made.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Some people had not had their ability to consent to the care they received assessed and DOLS applications had not always been made.

Systems were in place to record accidents, incidents and complaints. People told us however that they didn’t feel that actions were always taken to improve and we have made recommendations that the registered manager reviews how these systems demonstrate outcomes and lessons learnt.

We have also made a recommendation for the service to consider how it improves the environment for people living with dementia.

We saw staff treat people with kindness and respect and most of the people we spoke with told us staff were caring, however some people told us they felt rushed with their care. People had the necessary referrals and input form health professionals where required.

Staff were recruited safely and had received the training necessary to do their job. However, the service was reliant on agency staff to provide nursing care.

Activities in the home had improved, this was being further developed by the activity team.

Health and safety systems including and regular checks were in place.

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 06 November 2018) and there were four 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 enough improvement had not been made/ sustained and the provider was still in breach of regulations. This is the second consecutive inspection when the home has been rated requires improvement.

Why we inspected

This was a planned inspection based on the previous rating. This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Enforcement

We have identified continued breaches in relation to safe care and treatment, governance and how the provider ensures care is being delivered with the consent of people at this inspection. Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for 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.

Inspection areas

Safe

Requires improvement

Updated 31 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 31 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 31 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 31 August 2019

The service was not always responsive.

Details are in our responsive findings below

Well-led

Inadequate

Updated 31 August 2019

The service was not well-led.

Details are in our well-Led findings below.