Background to this inspection
Updated
17 May 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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. 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
One inspector
Service and service type
Caprera is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.
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 manager in post who was in the process of registering with CQC.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and one relative, about their experience of the care provided. We spoke with four members of staff, the manager and the provider.
We reviewed a range of records. This included two people’s care records and medicines records. We looked at three staff files in relation to recruitment, staff training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with a visiting healthcare professional and continued to clarify information provided with the manager.
Updated
17 May 2022
About the service
Caprera is a residential care home. It is registered to provide accommodation and personal care for up to 31 predominantly older people. The service does not provide nursing care. Nursing services are provided by the community nursing team. At the time of the inspection there were 27 people living at the service.
People’s experience of using this service and what we found
People told us they were happy with the care they received and people said they felt safe living there. Comments from people included, "I am very happy here," "Yes its all ok," "I am well cared for and have a lovely view from my room,"and "Staff come to me regularly." One relative told us, "No concerns whatsoever, they speak with me all the time, they are very communicative" and "I think it is lovely here I have no complaints."
People looked happy and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service.
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 were supported by staff who completed an induction, training and were supervised. Staff were recruited safely in sufficient numbers to ensure people’s needs were met. There was time for people to have social interaction and staff assisted people with activities in the afternoons. Staff knew how to keep people safe from harm.
Staff received appropriate training and support to enable them to carry out their role safely, including dementia care training.
The environment was safe, with an improvement programme ongoing. The outside of the building was being painted at the time of this inspection. People had access to equipment where needed.
People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately.
Records of people's care were individualised and reflected each person’s needs and preferences. Risks were identified, and staff had guidance to help them support people to reduce the risk of avoidable harm.
People’s communication needs were identified, and where they wanted, people had end of life wishes explored and recorded.
People were supported by a service that was well managed. Records were accessible and up to date. The management and staff knew people well and worked together to help ensure people received a good service.
Staff told us the manager and the provider of the service were available and assisted them as required. They went on to say how they were approachable and listened when any concerns or ideas were raised. One staff member said, “The owner just wants what is best for the people living here” and “They have been very supportive to me.”
Rating at last inspection
The last rating for this service was good (Published15 May 2018) At this inspection the rating has remained good.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk