Background to this inspection
Updated
23 March 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 3 inspectors.
Service and service type
Coppermill Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Coppermill Care Centre is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. A new manager had been in post for 2 months and had submitted an application to register. We are currently assessing this application.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 9 people who used the service and 4 visiting relatives of other people. We carried out observations to see how people were being cared for and supported. We spoke with staff on duty who included 4 care workers, kitchen staff, the activity coordinator, and senior staff including senior care workers, the manager and the director.
We looked at the care records for 7 people who used the service. We looked at records of complaints, accidents, incidents, meeting minutes, quality audits and the recruitment, training and support records for 5 members of staff. We conducted a tour of the environment, in particular looking at how infection prevention and control was managed, and we looked at how medicines were being managed. After the inspection, we contacted 2 healthcare professionals by email to seek their feedback and received a response from 1.
Updated
23 March 2023
About the service
Coppermill Care Centre is a care home providing personal care over two floors to up to 52 people. The service provides support to older people, some of whom were living with the experience of dementia. At the time of our inspection there were 46 people using the service.
People’s experience of using this service and what we found
People were protected from the risk of avoidable harm. The risks to people's safety and wellbeing had been identified, assessed and managed. Accidents and incidents were investigated and information about these was shared with the local authority.
Feedback indicated people using the service were happy with the care they received. We saw the staff spent time with people, listened to them and met their needs. Relatives we spoke with told us people were well cared for and thought the staff and management team were good.
People who used the service received their medicines safely and as prescribed. Safety checks were undertaken regularly including fire safety and environment checks.
There were robust procedures for preventing and controlling infection, and the staff followed these.
There were procedures to help make sure staff employed were suitable and had the skills and knowledge they needed. These included recruitment checks, regular training and supervision. The staff told us they were happy working at the service.
The manager was suitably qualified and experienced. They worked well with staff to ensure people’s needs were met in a person-centred way. There were appropriate systems for reviewing people's health and working with relevant health and social care professionals.
People were supported to undertake activities of their choice and told us they enjoyed these. There was an activity plan displayed which reflected the activities undertaken. The staff engaged well with people to find out what they wanted to do.
The provider had effective monitoring systems in place, and ensured they took prompt action when any concerns were identified. Stakeholders told us communication was good and they were happy with the service overall.
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.
Rating at last inspection
The last rating for this service was good (published 20 July 2022).
Why we inspected
We received information in relation to an increase in safeguarding concerns. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.