Coplands Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. We looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life. We looked at 2 quality statements. For the quality statements not inspected, we used the scores awarded at the last inspection to calculate this key question rating. The rating remains good.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s care plans and risk assessments we reviewed contained information about people’s individual needs, preferences and choices. However, the service did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health and care with them and relatives. For example, some relatives we spoke with informed us of delays in the service seeking medical attention when health concerns emerged.

Furthermore, the service made the decision to move away from specific units that caters for residential or nursing care needs in favour of mixed units with both nursing and residential care needs. The service wanted to foster a more inclusive and integrated environment. Mixed units that accommodate both residential and nursing needs could lead to some challenges in terms of service delivery, people’s safety and resources. For example, challenges could arise in providing appropriate care tailored to the specific health requirements of people, while some individuals may only need assistance with daily activities, others may require more intensive nursing care and intervention. Balancing varying caring responsibilities in a single environment could lead to concerns with assessing needs effectively. Feedback from some relatives and people who used the service expressed difficulties with this arrangement. For example, activities offered were not tailored to meet people’s individual needs as younger adults, adults who were more independent and physically mobile struggled to engage in activities that catered for the older age group and people who had higher-level needs, leading to feelings of dissatisfaction. Although we saw evidence of a range of activities being offered at the service, including singing, bowling baking, general knowledge and arts and crafts. Some relatives and people we spoke with would like walking groups and accessing the community to be incorporated into the activities calendar.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

Managers and staff told us incidents and accidents were recorded on the system, this included any safeguarding concerns or complaints. These were analysed and reviewed to determine any underlying causes and identify any action or improvements. Staff told us that team meetings were used to share information about any incidents along with any learning. Though we saw evidence of lessons learned and the service responding to concerns about safety, they did not always have a proactive and positive culture of safety. Feedback from some relatives indicate they did not always listen to concerns and did not always respond efficiently.