17 January 2019
During a routine inspection
Capri 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.
Capri is registered to provide accommodation for up to nine people and supports older people, some of whom are living with dementia, a physical disability or a mental health need. At the time of our inspection, there were seven people living in the service.
There was a registered manager at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last inspection, in January 2018, the service was rated as Requires Improvement overall with breaches of Regulation 12, 17 and 18 of the Health and Social Care Act 2008 and Regular 18 of the Care Quality Commission (Registration) Regulations 2009. We identified concerns relating to the failure to safely manage environmental risks within the home, the failure to ensure staff were suitably qualified and had the skills required to carry out their roles and a lack of effective systems to monitor the quality of the service. We also identified that the provider had failed to notify the CQC of significant events, in line with their registration. At this inspection, we found action had been taken to address these issues, and there were no longer any breaches of regulation.
Individual and environmental risks were managed effectively. Risk assessments identified risks to people and provided clear guidance to staff on how risks should be managed and mitigated.
People felt safe living at Capri. Staff knew how to keep people safe and how to identify, prevent and report abuse. They engaged appropriately with the local safeguarding authority.
Thorough staff recruitment checks were carried out when a new staff member started working for the service. There were enough staff available to keep people safe at all times.
There were robust systems in place to ensure the safe management of medicines. People were supported to receive their medicines by staff who had been trained appropriately and medicine administration records were completed accurately.
Staff received a variety of training and demonstrated knowledge, skill and competence to support people effectively. Staff were supported appropriately by the registered manager.
People had access to health and social care professionals where required and staff worked together co-operatively and efficiently.
People were supported by staff with their nutritional and hydration needs. People were offered choice at mealtimes and menus contained a variety of nutrition and healthy foods.
People were cared for with kindness and compassion. Staff had developed positive relationships with people and knew what mattered most to them.
Staff took action to protect people’s dignity and privacy at all times and encouraged people to be independent with all aspects of their daily routines where possible.
People had a clear, detailed and person-centred care plan in place, which guided staff on the most appropriate way to support them.
The service had a clear process in place to deal with complaints to ensure they were dealt with in a timely and effective manner.
There were appropriate auditing systems in place, which ensured that issues were acted upon and ideas for improvement were responded too.
People, their relatives, visitors and staff members commented positively on the leadership of the service and felt that the service was well-led. The provider was engaged with the running of the service and was approachable to people and staff.