Cavell Court

Updated 1 September 2021

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 Care Act 2014.

Inspection team

This inspection was carried out by two inspectors and 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.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection took place on 10 August 2021 and was unannounced. We gave feedback to the registered manager on 18 August 2021.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

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 all of this information to plan our inspection.

During the inspection-

We spoke with four people and two relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, regional manager, deputy manager and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with a professional who regularly visit the service.

Updated 1 September 2021

Cavell Court is a residential care home providing personal and nursing care to 62 people aged 65 and over at the time of the inspection. The service can support up to 80 people.

Cavell Court is a purpose-built building set out over three units, with each bedroom having an en-suite facility. Each unit has a kitchenette, dining room and lounge(s). The service also has access to communal areas including a ground floor coffee bar, cinema, activity rooms, hair salon and outdoor garden space.

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

The registered manager had systems in place to manage risks and keep people safe from avoidable harm.

Staff used personal protective equipment, such as gloves and aprons to prevent the spread of infection. Visitors were required to complete health questionnaires, have their temperature taken and provide a negative COVID-19 test before entering the service.

Staff assessed and reduced people’s risks as much as possible. There were enough staff to support people with their care and support needs. The provider carried out key recruitment checks on potential new staff before they started work to ensure they were suitable.

People received their medicines and staff knew how these should be given. Checks were in place to ensure that medicines were given safely and stored correctly.

The service was well managed by a registered manager with regular input from the provider. The senior staff team were passionate about giving people a high-quality service.

Systems to monitor how well the service ran were carried out. People and relatives were asked their view of the service and action was taken to change any areas they were not happy with.

The registered manager was open and honest when things went wrong. They shared any learning from these events with people, staff and professionals and used their learning to change practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (19 December 2018).

Why we inspected

This was a planned focused inspection based on our ongoing monitoring of the service. This report only covers our findings in relation to the key questions safe and well-led.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cavell Court on our website at www.cqc.org.uk.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.