Background to this inspection
Updated
23 March 2015
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 14 and 17 October 2014 and was unannounced. The inspection team was made up of two inspectors and a Specialist Advisor with expertise in dementia care. The team also included an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their experience was in supporting a family member who was living with dementia.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed all the information we held about the provider. We looked at the notifications that the provider had sent us. A notification is information about important events which the provider is required to send us by law. We looked at the report of the previous inspection held in September 2014. We also contacted health and social care professionals who regularly visited the people who live in the home. We received feedback from three health care professionals.
During our inspection we carried out observations and used the Short Observation Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experiences of people who could not talk to us due to their complex needs.
We spoke with 11people who lived in the home and 12 relatives and friends of the people. We spoke with the manager, three members of the management team, two nurses and six care staff members. We reviewed the care records of six people we observed as having complex needs and training records for all the staff. We also reviewed how the manager audited the service. This involved looking at records pertaining to how the people’s care was managed.
Updated
23 March 2015
This unannounced inspection was carried out on the 14 and 17 October 2014.
Cooperscroft provides accommodation, support and treatment for up to 60 people who require nursing and personal care; some of whom may be living with dementia. At the time of the inspection there were 57 living in the home.
The home had a registered manager in place. 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 and associated Regulations about how the service is run.
At our last inspection on the 10 September 2014, we told the provider to ensure staff followed the appropriate processes to ensure the safe handling, recording and administration of medicines when given covertly. During this inspection we found that our concerns had been addressed and safe medication systems were in place.
The provider had effective recruitment processes in place, but there were was not always sufficient staff employed.
People’s needs had been assessed, and however not all care plans took account of people’s individual care and treatment needs, preferences, and choices.
There were risk assessments in place that gave guidance to the staff on how risks could be minimised. There were systems in place to safeguard people from the risk of abuse and medicines were managed safely. Occasionally risk was over managed.
Staff had appropriate training, supervision and support, and those who had been trained understood their roles in relation to the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).
People were supported to have sufficient food and drinks in a caring and respectful manner.
People were supported to access other health and social care professionals when required. They were also enabled to maintain close relationships with their family members and friends.
The provider had a formal process for handling complaints and concerns. They encouraged feedback from people and acted on the comments received to improve the quality of the service.
We identified one breach to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 during our inspection. You can see what action we asked the provider to take at the back of the full version of this report.