Inspection on 04/11/08 for Coton House
Also see our care home review for Coton House for more information
This inspection was carried out on 4th November 2008.
CSCI found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
The service is very motivated to improve and has taken steps by fundamentally reviewing its processes. This has started by changing to a different care planning method which is providing a structure to assess and keep people`s needs under review. The risk of pressure sores is now being assessed and regularly reviewed for individuals and currently all residents are benefiting from skin which is healthy and intact. Supervision records are well maintained and are showing that the manager is effectively managing supervision processes. A commitment has been shown too to providing staff with additional training since the last inspection to bring about service improvement.
What the care home could do better:
Medication systems remain poor. We have identified that the poor systems have the potential to put people at risk and do not evidence that people are receiving their medication as prescribed to support their health and welfare. Care plans would benefit from more detail to ensure that there is sufficient guidance for staff and staff must more be more familiar with the details of these for individual people. It is particularly important that care plans determine how dementia is impacting on individual peoples lives and steps that staff can take to overcome the barriers specific to those people. Odours must be more effectively managed to provide a more pleasant and dignified environment for people as well as ensuring that the risks of cross infection are minimised. The manager must review accidents to take steps to reduce the risk of repetition and staff must demonstrate that they are always monitoring changes in health by recording what they have done and observed even where conditions seem to be improving. Also staff need to know how to improve their infection control practice on a day to day basis