Background to this inspection
Updated
23 November 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by an inspector, an assistant inspector 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
Canwick court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 did not have a manager registered with the Care Quality Commission in post. The manager was in the process of registering with CQC. A registered manager and 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 was unannounced. We inspected the service on 30 September 2019.
What we did before the inspection
Prior to the inspection we examined information we held about the service.This included notifications of incidents that the registered persons had sent us since our last inspection. These are events that happened in the service that the registered persons are required to tell us about. We used all of this information to plan our inspection.
The provider had completed a Provider Information Return. 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.
During the inspection
During the inspection we spoke with seven people who lived at the service, three relatives, a family friend, three care staff, the manager, a registered manager from another company home and a director. We looked at four people's care records in detail and records that related to how the service was managed including staffing, training, medicines and quality assurance.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
23 November 2019
About the service
Canwick Court care Centre 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. It provides accommodation for older people including people living with dementia. The home can accommodate up to 30 people. At the time of our inspection there were 22 people living in the home. Accommodation is provided in two units, including a unit for people living with dementia.
People’s experience of using this service and what we found
There was a process in place to carry out quality checks. These were carried out on a regular basis.
The home was clean, and staff understood how to prevent and manage infections. The environment was not consistently adapted to support people living with dementia.
There was enough staff to support people. Appropriate employment checks had been carried out to ensure staff were suitable to work with vulnerable people. Arrangements were in place to safeguard people against harm. People said they felt safe.
People enjoyed the meals and their dietary needs were catered for. This information was detailed in people’s care plans. Staff followed guidance provided to manage people's nutrition and pressure care. People were supported by staff who had received training to ensure their needs could be met. Staff received regular supervision to support their role.
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. However best interest decisions were not always completed.
People had good health care support from external professionals. When people were unwell, staff had raised the concern and acted with health professionals to address their health care needs. At the time of inspection people did not have access to a range of activities and leisure pursuits.
We saw evidence of caring relationships between staff and people who lived at the home. Staff were aware of people's life history and preferences and used this information to develop relationships. People felt well cared for by staff. Care records were personalised and were regularly reviewed.
The provider had displayed the latest CQC rating at the home and on their website. When required notifications had been completed to inform us of events and incidents.
More information is in the detailed findings below.
Rating at last inspection
The last rating for this service was Good (published February 2017). At this inspection the service remains rated Good.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.