The Care Quality Commission
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Archived: Coombe Grange Residential Home

Overall: Good read more about inspection ratings

Coombe Lane, Sway, Lymington, Hampshire, SO41 6BP (01590) 682519

Provided and run by:
Coombe Grange Care Limited

Important: The provider of this service changed. See old profile

All Inspections

10 June 2015

During an inspection looking at part of the service

We carried out an unannounced comprehensive inspection at Coombe Grange on 8 December 2015. We found some staff were not familiar about how to report abuse if they suspected this might take place. Some staff were not knowledgeable about how to assess people’s capacity to make decisions and could not tell us how they applied the Mental Capacity Act 2005 (MCA).

We found Coombe Grange to be in breach of Regulation 18 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 which corresponds with Regulation 11 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Need for consent.

After the comprehensive inspection, we published a report in which we asked them to tell us what they would do to meet legal requirements in relation to the one breach we identified and how they would improve their safeguarding procedures. The provider sent us an action plan which stated that they would have made the required improvements by the 10 June 2015.

We carried out an unannounced focussed inspection on 10 June 2015 to check whether action had been taken in relation to the breach of Regulation 18 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 which corresponds with Regulation 11 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Need for consent. We found the provider had made the required improvements.

This report only covers our findings at the inspection on 10 June 2015. You can read the reports from our last comprehensive and focussed inspection, by selecting the ‘all reports’ link for ‘Coombe Grange’ on our website at www.cqc.org.uk.

Coombe Grange provides care and support for up to 40 people. At the time of our inspection there were 25 people living there.

Coombe Grange did have a registered manager on the day of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were knowledgeable about the different types of abuse that could take place and told us how they would inform the local authority and the Care Quality Commission (CQC) if they suspected someone was being abused. Safeguarding policies contained sufficient contact details should staff need to contact the local authority and CQC.

Records showed all care staff had received training in the use of the Mental Capacity Act 2005 (MCA). They were knowledgeable about the requirements of the MCA and were able to describe how they supported people to make decisions.

As a result of this inspection, we revised the ratings in respect of the ‘safe’ and ‘effective’ domains and this meant the overall rating changed from requires improvement to good.

8 December 2014

During a routine inspection

The inspection took place on 8 December 2014 and was unannounced

Coombe Grange is a care home that provides care and support to older people. The home had suitable facilities and equipment in place to meet their needs. The home is able to accommodate up to 40 people.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

Staff were not always knowledgeable about the requirements of the Mental Capacity Act 2005 (MCA) and did not consistently document how decisions about people’s care were made. Records showed some staff had not received training in the use of the MCA

Staff were not always supervised effectively. Some staff had not received supervision or appraisal in the last two years.

The provider did not supply staff with sufficient information should they need to raise any concerns about possible abuse.

Staff understood the needs of people and care was provided with kindness and compassion. People, relatives and health care professionals told us they were happy with the care and described the service as excellent. One health care professional said: “The staff work well with people living here, they have good understanding of what people’s needs are”.

People were supported to take part in activities they had chosen. Records showed people’s hobbies and interests were documented and staff accurately described people’s preferred routines.

Staff were appropriately trained and skilled to deliver safe care. They all received a thorough induction before they started work and fully understood their responsibilities. Records showed staff received training in mental health, dementia and moving and handling.

The registered manager assessed and monitored the quality of care provided involving people, relatives and professionals. Each person and every relative told us they were regularly asked for feedback and were encouraged to voice their opinions about the quality of care provided. Records showed care plans had been reviewed regularly and people’s support was personalised and tailored to their individual needs.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. These safeguards protect the rights of people using services by ensuring that if there are any restrictions to their freedom and liberty, these have been authorised by the local authority as being required to protect the person from harm. We observed people’s freedoms were not unlawfully restricted.

Referrals to health care professionals were made quickly when people became unwell. Each health care professional told us the staff were responsive to people’s changing health needs. One health care professional said: “We work well together and they always contact us if they need advice or if they want to hold a review of someone’s care”.

Staff spoke with people in a friendly and respectful manner. The service was person centred and people told us they were encouraged to raise any concerns about possible abuse.

Care plans were reviewed regularly and people’s support was tailored to their individual needs.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of this report.