Background to this inspection
Updated
18 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We received information of concern about visiting arrangements at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 25 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.
Updated
18 February 2022
About the service
Cookridge Court is a care home which provides personal care to people. At the time of the inspection the home was providing personal care to 59 people.
People's experience of using this service:
Following the last inspection in June 2019 the home have made improvements. People and their relatives told us the quality of care had improved and their needs were being met. There were enough staff in the home, and we found call bells were attended to in a timely manner. Medicines were managed safely. Although, we found some creams were not stored correctly this was immediately resolved.
The home had improved their governance systems and regular audits meant ongoing actions had been taken to improve care. Due to these improvements the home is no longer in breach of regulation. Whilst improvements had been made, we need assurances over a longer period that these improvements become embedded and sustained.
Following the last inspection care records and risk assessment records were now more detailed. However, we found some areas which still required improvement. Fluid charts had not always been completed to monitor people’s fluid intake and completion dates for actions taken on audits had not always been completed.
Individual risks were being managed and actions immediately taken to prevent re occurrences. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again. People were kept safe and protected from abuse and avoidable harm. Staff were knowledgeable about people’s needs and this was reflected in care plans and risk assessments.
The registered manager and staff encouraged person centred care to ensure people were treated as individuals. The staff knew how people preferred to receive their care and support.
Infection control procedures were in place to prevent against infectious diseases. During the Covid-19 pandemic the home segregated a unit to provide support to those with suspected or confirmed cases to prevent against further spread of infection in the home. Staff wore the correct personal protective equipment when supporting people and this was available throughout the home.
People and their relatives said the registered manager was approachable and listened to their concerns. Staff had with regular meetings and supervisions to promote feedback and good communications with the management team. One staff member said, “The relationship between seniors and carers is good. You can easily raise your concerns with seniors, and it gets resolved. We ensure there is good quality of care given to our residents.”
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 15 November 2019) and there were four breaches of regulation. We issued requirement notices, for regulation 9, person centred care, 12 safe care and treatment, 18 staffing and 17 good governance.
At this inspection the service had improved and were no longer in breach of the above regulations.
Why we inspected
We undertook this focused inspection in line with our current methodology in the COVID-19 pandemic, to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, and well-led which contain those requirements.
Ratings from previous comprehensive inspections for those key questions were used in overall rating at this inspection.
The overall rating for the service has not changed.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cookridge Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.