Archived: Cool Runnings Too

Updated 8 September 2020

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

The inspection was carried out by one Inspector.

Service and service type

Cool Runnings Too 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 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. The registered manager was also the owner of the home. For the purpose of this report we use the term registered manager throughout, even if we are referring to the provider.

Notice of inspection

This inspection was unannounced.

The inspection was carried out on the 9 March 2020.

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.

During the inspection

We spoke with five people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, who is also the owner of the care home. We spoke with one professional who regularly visits the service.

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

Updated 8 September 2020

About the service

Cool Runnings Too is a care home which is registered to provide care and accommodation for up to 12 older people. At this inspection there were 10 people living at the home, one person was in hospital and the provider had one vacancy. The home has access to a garden area. There are two floors with communal spaces such as lounges and dining rooms on the ground floor. At this inspection everyone had their own individual bedroom. The provider has some people completing periods of respite.

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

Quality monitoring systems were not effective, the provider had not identified shortfalls through their governance system. Specifically, with regards to medicine management.

Risk and safety were not always comprehensive or up to date. The provider had not ensured people living at the home had a Personal Emergency Evacuation Plan (PEEP). A PEEP sets out the specific physical and communication requirements that each person had to ensure that they could be safely evacuated in the event of an emergency. We have recommended that the provider considers current guidance on managing risk in care homes and takes action to update their practice.

Since 2016 onwards all organisations that provide publicly funded adult social care are legally required to follow the Accessible Information Standard [AIS]. The standard was introduced to make sure people are given information in a way they can understand. The registered manager was aware of the AIS but had not fully ensured information was shared in an accessible way. We have recommended that the provider considers current guidance on accessible information standards and takes action to update their practice.

People were supported by staff that were caring and treated them with dignity and respect. Staff understood the needs of the people they supported well and knew them as a person. All the feedback we received from people and their relatives was positive.

People were supported by staff who had the skills and knowledge to meet their needs. Staff felt supported by the registered manager. Staff understood their role and received appropriate training that supported them in their roles.

Staff worked together with a range of healthcare professionals to achieve positive outcomes for people. Staff supported people to maintain important relationships and continue personal hobbies and interests.

People's concerns and complaints were listened and responded to. Accidents and incidents were reviewed. People and their relatives commented positively about the registered manager and the quality of care their family member received.

The registered manager had ensured all relevant legal requirements, including registration and safety obligations, and the submission of notifications, had been complied with. The registered manager felt staff had a clear understanding of their roles and responsibilities. This was evident to us throughout the inspection. Staff worked with people within the principles of the MCA, and DoLS.

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.

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 good (published 14 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to medicines management and made three recommendations in relation to, risk management, accessible information and communication and quality assurance including medicines management.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.