Archived: Collingwood Court Care Home

Updated 10 June 2022

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

This inspection was conducted by three inspectors, a specialist advisor and an Expert by Experience. The specialist advisor was a nurse. 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

Collingwood Court Care Home 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. Collingwood Court Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

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 16 people using the service. We spoke with the registered manager, the deputy manager, the clinical services manager, a unit manager, an activities co-ordinator, two business support staff, the maintenance officer, five care workers and the regional director. We reviewed a range of records. This included eight care records, staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints, incident forms, audits policies and procedures were reviewed.

Updated 10 June 2022

About the service

Collingwood Court Care Home provides accommodation for up to 80 people who require nursing or personal care in one adapted building, split into three units. the time of our inspection there were 75 people using the service.

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

The provider had made improvements in relation to the areas of concern we found at our last inspection including safe care and treatment and statutory notifications submitted to the CQC. However we found records were not always consistently kept and we have made a recommendation to the provider about this. We have also made a recommendation in relation to the physical environment.

People using the service and their relatives were satisfied with the care they received from staff. They told us they felt safe at the service and care workers treated them with kindness. Risks to people were assessed and plans were in place to reduce the risk and keep people safe from harm. The provider contacted the appropriate healthcare professionals if referrals needed to be made. The provider operated robust recruitment checks which meant people were kept safe from the risk of being supported by staff who were not fit to do so. People received their medicines from staff in a safe way. The provider followed safe infection control procedures, including those associated with Covid-19. The provider recorded any incidents and accidents and used these as a learning opportunity and to make improvements.

Staff received training that was relevant to their role and regular supervision which meant they were able to carry out their roles effectively. The provider held regular staff meetings which provided an opportunity to give feedback. People were admitted to the service safely and the provider worked in collaboration with external healthcare professionals to ensure they met their health and dietary needs.

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.

People told us that staff treated them well and we saw some nice interaction between staff and people using the service. Care plans were person-centred and included details about people’s preferences, their likes and dislikes. Staff supported people in a dignified way, respecting their privacy.

Care plans and risk assessments were evaluated every month, these included end of life care plans. There was a varied programme of activities in place, which included both individual and group activities. However, some of these were on hold at the time of the inspection due to an outbreak of Covid-19. The provider recorded and followed up on any complaints that were received and there was a system in place to analyse these to try and identify any trends and make any improvements.

The culture within the service had improved since the last inspection, this was reflected in the feedback we received from both people and staff. There were thorough governance procedures in place, including a system of audits. The registered manager was supported by a deputy and clinical services managers and also an external quality and regional team which meant there was good oversight into all aspects of the service.

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 02 October 2020) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about this service and the previous rating.

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.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Collingwood Court Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.