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CQC report explained · a nursing home

What the CQC found at Coplands Nursing Home

Goodpublished 13 May 2025, 16 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, February 2022

Coplands Nursing Home rated Good; inspectors found safe, personalised care and stronger management, with one medicines stock issue identified.

This was an unannounced, focused inspection on 19 January 2022. Inspectors spoke with two people, six relatives and seven staff. They reviewed care and medicines records, staff files, training information, rotas and management records.

The home was rated Good for Safe, Responsive and Well-led. Inspectors found people were protected from abuse, risks were assessed, care was personalised and complaints were handled well. Staff were described as kind, respectful and supportive.

The inspection followed a previous Requires Improvement rating, published on 4 March 2021. The provider had completed an action plan, and inspectors found improvements meant the home was no longer in breach of regulations.

This was not a full inspection of every area. Effective and Caring were not inspected during this visit, so their earlier ratings were carried forward when calculating the overall Good rating.

What inspectors praised
  • Risk management

    People's risks were assessed and reviewed, with clear guidance for staff. The environment was clean, spacious and arranged to help people move around safely.

    “The risk assessments were comprehensive and provided staff with clear guidance on supporting people safely.” from the report
  • Personalised care

    Care plans included people's health needs, communication preferences, culture, religion and important relationships. Inspectors found that plans were regularly reviewed.

    “People's care plans included personal information about their diverse needs, such as their culture, religion, and important relationships.” from the report
  • Kind and respectful staff

    People spoke positively about staff and said they felt safe, respected and supported. Inspectors observed dignity, respect and compassion in staff interactions.

    “They demonstrated dignity, respect and compassion in interactions.” from the report
  • Improved leadership

    Management systems had improved since the previous inspection. The home used checks, meetings, surveys and incident reviews to monitor quality and listen to people's views.

    “At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
What inspectors were concerned about
  • Medicines stock records

    needs fixing

    Inspectors found one problem with the stock levels of medicines given to one person. The manager provided an action plan after the inspection to prevent similar mistakes.

    “During the inspection we found one issue around the stock levels for the medicines one person as administered.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to check medicines stock levels, and how are these checks recorded?
  2. 02What activities are normally available, and how are people supported to take part if they cannot use communal areas?
  3. 03How are people's care plans reviewed when their health, communication needs or preferences change?
  4. 04How can relatives give feedback or raise a concern, and how will they be told what action was taken?
  5. 05What evidence can you show that the improvements made after the previous inspection have been maintained?

This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 11 February 2022 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.

An earlier report, explained

What inspectors found, March 2021

Rated Requires Improvement; inspectors found recent improvements in safety, but care was not yet consistently responsive and well-led.

This was an unannounced focused inspection on 14 January 2021. It followed safeguarding concerns and complaints. Inspectors spoke with people, relatives, staff and care professionals. They reviewed care files, medicines records, policies, checks and audits.

The home was rated Good for Safe. Inspectors found improved risk assessments, safe medicines, suitable staffing, clean premises and arrangements to prevent infections. They found that earlier problems with safeguarding, care planning, medicines and staffing had been addressed.

Responsive and Well-led were both rated Requires Improvement. Care had improved, but the changes were recent. Inspectors wanted to see a longer record of consistent care, better communication with relatives, fully completed care records and further improvement in staff culture and performance.

The overall rating remained Requires Improvement. The report says the home was no longer in breach of the regulations identified at the previous inspection, but it still needed to show that improvements could be maintained.

What inspectors praised
  • Safer care planning

    Risk assessments and care plans gave staff guidance about risks such as falls, diabetes and pressure sores. Inspectors found that earlier safety problems had been addressed.

    “Comprehensive assessments and care plans were in place to address potential risks to people.” from the report
  • Medicines

    People received their medicines as prescribed. Records were complete, medicines were stored correctly and regular audits were carried out.

    “Medicines administration records (MARs) were fully completed and had no unexplained gaps.” from the report
  • Staffing

    Inspectors found suitable staffing arrangements and saw that staff were not rushed. People and staff said care needs could be met.

    “At this inspection suitable staffing arrangements were in place. People told us their care needs had been met.” from the report
  • Cleanliness and infection control

    The premises were clean and tidy. Staff had infection control training and enough protective equipment was available.

    “On the day of inspection we found the premises were clean and tidy, and a cleaning schedule was in place.” from the report
  • Personalised support

    Care records covered individual needs, preferences, culture and religion. The home also offered a varied programme of social and therapeutic activities.

    “Care records contained comprehensive assessments of people's needs.” from the report
What inspectors were concerned about
  • Communication with relatives

    needs fixing

    Several relatives were concerned that the home did not always communicate about people's welfare and that the phone was not always answered, particularly at weekends.

    “However, several relatives voiced concerns about the lack of communication from the home about the welfare of people and the phone not being answered, especially at weekends.” from the report
  • Incomplete care records

    needs fixing

    Some sections of care documentation were not fully completed. Inspectors said this still needed improvement.

    “Although we had noted significant improvements, there were still deficient areas such as ensuring that all sections of care documentation were fully completed” from the report
  • Staff culture

    needs fixing

    Inspectors found that staff culture and performance still needed improvement. Meeting records used harsh language and appeared to publicly reprimand some staff.

    “We however, noted that the language used appeared harsh and it appeared that some staff were publicly reprimanded for not adequately performing certain tasks.” from the report
  • Recent changes

    minor

    The home had undergone major changes after numerous complaints. Inspectors wanted to see that improvements were maintained over time.

    “To be rated as good, the home would need to maintain a track record of consistent improvement in the quality of care provided.” from the report
Questions to ask them, based on this report
  1. 01What has changed to make sure relatives are kept informed about people's welfare, especially at weekends?
  2. 02How do you check that every section of each person's care documentation is complete and kept up to date?
  3. 03What actions are being taken to improve staff culture and performance?
  4. 04Has the freeze on new admissions ended, and how are new admissions being phased in and monitored?
  5. 05How will you show that the recent improvements have been maintained consistently?

This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were used in calculating the overall rating. This explanation was written from the published report of 4 March 2021 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.

The story over the years

Every inspection of Coplands Nursing Home

4 rated inspections over 4 years: the service has held its Good rating throughout.

  1. February 2022Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Coplands Nursing Home →

  2. March 2021Requires improvementstayed Requires improvement
    Safe: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Coplands Nursing Home →

  3. October 2020Requires improvementdown from Good
    Safe: InadequateWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2018Good
    Safe: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2017

    Registered with the Care Quality Commission on 30 July 2017.

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.

Next steps

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