Cosham Court Nursing Home

Some areas of the home were poorly maintained, so could not be effectively cleaned and staff failed to wear personal protective equipment, such as masks appropriately.

The provider's quality assurance systems had not always been used effectively to either identify areas for improvement and/or to bring about effective improvement.

Care records including care plans and risk assessments did not provide clear and consistent information in relation to people's needs and abilities and some information was conflicting. This placed people at risk of receiving inappropriate and ineffective care and treatment which could result in harm.

On day one of the inspection we could not be assured people's prescribed topical medicines were consistently applied as required. When this was discussed with the staff this was immediately addressed. All other medicines were managed safely.

Appropriate recruitment procedures were in place and there were enough staff to support people's needs. Staff had received training and support to enable them to carry out their role safely.

There were appropriate policies and systems in place to protect people from the risk of abuse. 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.

Relatives had mixed views about communication with the staff at the home and the opportunity to speak to their loved ones. However, people and relatives were also complimentary about many aspects of the service and described staff as kind and responsive.

CQC were notified of all significant events that occurred in the service and the previous performance rating was prominently displayed on the premises as per requirements.

The service worked in collaboration with all relevant agencies, including health and social care

professionals. This helped to ensure there was joined-up care provision.

The provider was responsive to our feedback and discussed how they planned to make changes to improve the service.