CQC report explained · a residential care home
What the CQC found at Codnor Park Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2019
Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
Inspectors made an unannounced visit on 12 August 2019. They spoke with people living in the home, relatives, staff and a visiting healthcare professional. They also checked care records, medicines records, staff files, incident records, complaints and quality audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practices, clean premises, personalised care plans, suitable food and drink, kind staff and activities that helped people stay connected.
The previous inspection had rated the home Requires Improvement and found a breach about premises and equipment. This inspection found that improvements had been made, including refurbishment, and the provider was no longer in breach.
Safe staffing
Inspectors found enough staff to meet people's needs safely. Staff were present in communal areas and answered call bells promptly.
“There were enough staff to ensure that people's needs were met safely.” from the report
Kind and respectful care
People and relatives gave positive feedback. Inspectors saw staff treating people with kindness, dignity and respect.
“We saw people were treated with kindness and respect during all interactions throughout our inspection.” from the report
Personalised support
Care plans included people's likes, dislikes, communication needs and choices. Staff supported people to remain as independent as possible.
“People had personalised care plans that promoted independence and with a focus on likes and dislikes.” from the report
Activities and community links
People were supported to take part in activities, go out and maintain relationships. Inspectors saw activities including seated exercise, bingo and book-folding.
“People were encouraged to participate in meaningful activities and access the community to avoid social isolation.” from the report
Improved premises
The building was being refurbished after the previous inspection. Inspectors found the environment safe and said the earlier breach about premises and equipment had been resolved.
“Enough improvement had been made at this inspection and the provider was no longer in breach of regulation 15.” from the report
Previous medicine error
seriousThe report says a medicine error occurred when a night-time stock count was interrupted. Managers had identified the issue and were considering an extra staff member for shifts requiring a stock count.
“A staff member told us how the stock count of medicines was being interrupted at night-time and this had led to a medicines error.” from the report
- 01How is the ongoing refurbishment being managed, and which areas or bedrooms still need work?
- 02What changes were made after the medicine error caused by an interrupted night-time stock count?
- 03How will you make sure there are enough staff in communal areas and during each shift?
- 04How will you find out and regularly review my relative's preferences, communication needs and care choices?
- 05Which activities and community trips would be suitable for my relative, and how often could they take part?
This was an unannounced planned inspection based on the previous rating and covered all five CQC questions, including the premises and care provided. This explanation was written from the published report of 4 September 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2018
Rated Requires Improvement; inspectors found safe, kind and responsive care, but serious delays in repairing the building and weak provider oversight.
This was an unannounced inspection on 06 June 2018. It was the first CQC inspection since the home was registered. Inspectors observed care, spoke with people, relatives and staff, and checked care, staff and management records.
The home was rated Good for Safe, Caring and Responsive. People felt safe, medicines were managed safely, staff were kind, and care plans and activities reflected people's needs and preferences. Staff also supported nutrition, healthcare and end of life care.
The home was rated Requires Improvement for Effective and Well-led. Inspectors found stained ceilings, missing ceiling tiles, damaged flooring, stained carpets, unpleasant odours and unreliable maintenance. The provider had identified some problems through audits but had not fixed them promptly.
The overall rating was Requires Improvement. The home breached Regulation 15 because the premises were not maintained to a suitable standard and repairs were not completed in good time.
Kind and respectful staff
People described staff positively, and inspectors saw staff treating people with patience, dignity and compassion.
“The staff were caring and kind and had developed good relationships with people using the service.” from the report
Safe medicines support
Medicines were stored, recorded and given safely. Staff checked how people wanted to take them.
“We observed a staff member giving people their medicines. This was undertaken in a person-centred way” from the report
Personalised care
Care plans included people's histories, interests, preferences and the support they needed. People and relatives were involved in reviews.
“Care plans included information about people's life histories, previous occupations, families, hobbies and interests.” from the report
Activities and social support
The home had increased its activity provision and offered a range of activities, including swimming, gardening and book club.
“Both were highly enthusiastic and were delivering a range of traditional and innovative activities including swimming, belly dancing, book club, gardening” from the report
Poor condition of the building
seriousInspectors found damaged and difficult-to-clean flooring, missing ceiling tiles, stained carpets, unpleasant odours and other worn areas. The lift had also been unreliable.
“Many areas of the ceiling were stained brown and in some areas ceiling tiles were missing, exposing pipe work.” from the report
Repairs were not completed promptly
seriousPeople, relatives and staff reported waiting too long for maintenance work. Inspectors found that the provider had not acted quickly enough on problems already identified in audits.
“Maintenance work was not carried out in a timely manner to ensure the premises was safe.” from the report
Provider oversight did not lead to action
needs fixingEnvironmental audits identified improvements that were needed, but the provider did not ensure those improvements were completed.
“However, the provider had failed to take action to ensure the environment was decorated and adapted to a consistent standard to meet people's needs.” from the report
- 01Which stained carpets, damaged floors, ceilings and furniture identified in the report have now been repaired or replaced?
- 02How reliable is the passenger lift now, and what arrangements are in place if it stops working?
- 03How quickly are maintenance problems dealt with and checked after they are reported?
- 04How does the provider make sure environmental audits lead to completed repairs?
- 05What activities are currently available seven days a week, and how are residents supported to join them?
This inspection looked at the whole service and all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 10 August 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Codnor Park Care Home
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- September 2019Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2018Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2016
Registered with the Care Quality Commission on 22 December 2016.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
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