CQC report explained · a nursing home
What the CQC found at Coloma Court Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitors, testing, protective equipment, admissions, hygiene and outbreak management.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This question was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This question was not assessed in this targeted inspection.
What inspectors found, August 2020
Inspected but not rated; inspectors found good infection-control arrangements during the Covid-19 pandemic.
Inspectors visited the home on 4 August 2020. The visit was announced and focused only on infection prevention and control during the coronavirus pandemic.
They found suitable arrangements for visitors, testing, personal protective equipment, social distancing and cleaning. Staff had training and support, and staff were grouped to work on the same floors.
People were supported to keep in touch with relatives and friends through controlled visits. The home also offered a self-contained bedroom for relatives when someone was receiving end-of-life care.
The home was inspected but not rated. This means the report gives findings about infection control, but it is not a full overall quality rating.
Visitor safety
Visitors completed a Covid-19 risk assessment, were screened for symptoms and were supported to use face coverings and wash their hands.
“All visitors were required to complete a Covid 19 risk assessment when they arranged a visit.” from the report
Consistent testing
A designated team carried out testing for people living at the home and staff, helping the process to be consistent.
“There was a designated team of four staff that carried all testing on people using the service and staff.” from the report
Staff training
Staff had training in Covid-19, infection control and protective equipment. They also received guidance on supporting people with dementia.
“All staff had received training on Covid 19, infection control and the use of PPE.” from the report
Family contact
The home supported visits in designated areas, with social distancing, staggered times and cleaning between visits.
“People were supported to have visits from their relatives and friends in designated areas where social distancing was observed.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your Covid-19 testing arrangements for residents and staff changed since the inspection?
- 02What are the current rules for visits, and how do you manage infection risks during visits?
- 03How do staff currently support people living with dementia to understand infection-control measures?
- 04How do you make sure staff use protective equipment safely and consistently?
- 05What arrangements are in place if someone is admitted to the home or if there is an infection outbreak?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 21 August 2020 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, February 2019
Coloma Court Care Home was rated Outstanding, with exceptional personalised care and leadership, while safe, effective and caring services were rated Good.
This was an unannounced inspection on 21 and 24 January 2019. Inspectors reviewed care records, recruitment files, training and management records. They spoke with people living at the home, relatives, staff and health professionals, and observed care.
The home was rated Good for Safe, Effective and Caring. Inspectors found enough staff, suitable recruitment checks, safe medicines systems, detailed care plans and good access to healthcare. People said staff were kind, respectful and understood their needs.
Responsive and Well-led were rated Outstanding. Inspectors found highly personalised care, excellent support for people living with dementia, outstanding end of life care, varied activities and strong leadership. The overall rating improved from Good at the previous inspection in July 2016.
Personalised care
Staff knew people exceptionally well and adapted support to their routines, preferences and communication needs.
“Staff knew people exceptionally well and understood their needs.” from the report
End of life care
Inspectors found that people received comfortable, dignified and pain-free care at the end of their lives. Relatives could stay in a guest room when someone was seriously ill.
“The home provided outstanding end of life care and people experienced a comfortable, dignified and pain free death.” from the report
Dementia support
A dedicated specialist dementia nurse supported people, relatives and staff. The home also offered dementia workshops and a daily advice service for relatives.
“The homes dedicated admiral nurse ran workshops at the home and provided training and information for staff, people using the service and relatives on dementia awareness.” from the report
Activities and inclusion
People had varied activities and the home worked to recognise religious, cultural and other diverse needs.
“People were provided with a range of interesting and varied social activities.” from the report
Strong leadership
Inspectors found that management systems worked well, including when the registered manager was absent. Audits and feedback were used to make improvements.
“There was a strong emphasis on monitoring performance leading to the delivery of demonstrable quality improvements to the home.” from the report
Vacancies and agency staff
minorThe home had some staff vacancies and used regular agency staff to maintain staffing levels. Inspectors found staffing adequate during the visit, but families may want to ask how continuity is maintained.
“They said they currently had some staff vacancies and had recently recruited a nurse and two care workers into post.” from the report
- 01How many staff vacancies are there now, and how often are agency staff used?
- 02How do you make sure agency staff know each person's needs and routines?
- 03How would relatives access the daily dementia advice drop-in service?
- 04How are end of life wishes recorded and shared with relatives and healthcare professionals?
- 05How are residents and relatives involved in reviewing menus, activities and other improvements?
This was an unannounced inspection of the care, accommodation and management of the home, and it considered all five CQC questions. This explanation was written from the published report of 20 February 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.
Every inspection of Coloma Court Care Home
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- August 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- August 2016GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 17 December 2010.
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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