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Inspection carried out on 12 August 2019

During a routine inspection

About the service

Codnor Park Care Home is a residential care home for up to 40 people which provides accommodation and personal care to older people in one adapted building. At the time of our inspection there were 31 people living there.

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

People continued to receive safe care. People were protected from abuse and risks to people’s health and wellbeing were assessed, managed and regularly reviewed. There were enough staff to ensure that people's needs were met safely. People received their medicines as prescribed and there were practices in place to ensure prevention and control of infection protected people. Lessons had been learnt following analysis of incidents.

The care given was effective. The premises were being refurbished to meet the needs of people using the service. People’s needs and expected outcomes were assessed and regularly reviewed. People were supported by staff who had relevant training, skills and experience to care for them. People had access to sufficient food and drink throughout the day. Staff worked with other health and social care professionals to achieve good outcomes for people’s health and wellbeing.

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.

The staff were caring, and we received positive feedback from people and their relatives. People had supportive and meaningful relationships with staff. People’s independence was promoted, and staff responded promptly to any discomfort and understood people’s needs.

The staff and provider continued to be responsive. People had personalised care plans that promoted independence. Staff identified people’s information and communication needs by assessing them. People were encouraged to participate in meaningful activities and access the community to avoid social isolation. People and relatives knew how to make a complaint and felt confident they would be listened to. People’s preferences and choices in relation to end of life care had been explored.

The service was now well-led. All staff shared the positive culture and vision to support people’s health and wellbeing. There was a clear line of organisation; staff were clear what their individual and team responsibilities were. The registered manager understood their duty of candour and responsibilities of registration with us. People, their relatives and visiting health and social care professionals were involved in improvement of the service. Regular audits took place to measure the success of the service and to continue to develop it. The provider was transparent, open and collaborative with external agencies.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 10 August 2018) and there was one breach 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

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 6 June 2018

During a routine inspection

This unannounced inspection took place on 06 June 2018. Codnor Park was registered by CQC on 22 December 2016 and this was the first time we had inspected this service.

Codnor Park is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Codnor Park provides care and support for up to 40 older people, some of who may be living with dementia. The premises had been adapted and consisted of two floors which included bedrooms, a main lounge, garden room, dining room and an activities room. At the time of our visit there were 23 people using the service.

There was a registered manager post in. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

We found that regular audits by the registered manager had identified areas of the environment that needed attention to ensure that people’s needs were met by the adaptation, design and decoration of the service. However, the provider had failed to address the identified areas of concern. During this inspection we found the same issues in relation to the environment as identified by the audits. For example, areas of the ceilings were stained brown and in some areas ceiling tiles were missing, exposing pipe work. In one corridor the carpet join had frayed and this had been stuck back down with duck-tape causing a potential trip hazard. In some en-suites and communal toilets the flooring had come away from the wall making it difficult to clean and some toilets needed to have the flooring sealed around the base.

In several bedrooms the carpets were stained and there was an unpleasant odour. Windows in many of the areas of the service had condensation in the pains obscuring peoples view to the outside. Concerns and dissatisfaction about how long it took for maintenance work to be carried out had been raised by people using the service, relatives and staff.

These issues were a breach of Regulation 15: Premises and Equipment. You can see what action we told the provider to take at the back of the full version of the report.

Systems and processes in place to monitor the environment were not effective to ensure actions were taken in a timely manner. Environmental audits identified areas for improvement, however these issues had not been addressed swiftly by the provider.

People felt safe at the service and staff knew how to protect them from potential harm. Staff monitored people’s well-being and took preventative action to keep them safe. There were enough staff on duty to support people and meet their needs. Staff supported people with their medicines and this was done safely. Staff were trained in infection control and wore PPE (personal protective equipment) to reduce the risk of the spread of infection or illness.

People’s needs were assessed before they started using the service. The staff were well-trained and knowledgeable. Staff assisted people with their meals and made sure people had enough to eat and drink. People’s healthcare needs were met and staff referred them to healthcare professionals where necessary. People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice

The staff were caring and kind and had developed good relationships with people using the service. They engaged with people and welcomed their relatives and friends when they visited. Staf