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The Coach House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 July 2019

About the service

The Coach House was providing personal care to 19 people aged 65 and over at the time of the inspection. The service can support up to 21 people some of whom were living with dementia.

People’s experience of using this service and what we found

People told us they liked living at the service Feedback from relatives and visiting professionals was very positive regarding the level of care and support people received.

People told us they received safe care. Ongoing issues were identified regarding people’s medication and this was in relation to people having their creams applied as per their GP’s instructions. The provider continued to recruit staff safely. Accidents and incidents had been reviewed and appropriate risk assessments had been carried out to keep people safe.

Staff received training to support them in their role.. Staff they felt supported by their managers and managers had an open-door policy and welcomed staff feedback. People were supported to have maximum choice and people told us they were involved in decisions regarding their care.

People were supported to maintain a healthy and balanced diet. They enjoyed their food and had access to snacks if they wished. People were quickly referred to other healthcare professionals to support their health and well-being.

All feedback was very positive regarding how staff and managers had worked to create an environment where people felt they could live both happily and safely. Staff supported people to maintain their independence as much as possible, and where support was provided, this was carried out in a way which maintained people’s dignity.

People were encouraged to participate in activities both internal and external to the home.

The provider welcomed feedback through various sources. They sent out regular questionnaires to gather people’s opinions, to further improve the level of care and support provided. In addition, the provider carried out a range a monthly quality checks.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 16 June 2018).

This is the fifth inspection where the provider has been rated as requires improvement. At our previous inspection, we identified one breach of regulation. At this inspection not enough improvement had been made and the provider was still in breach of regulation.

Why we inspected

This was a planned inspection based on the previous rating.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 26 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 July 2019

The service was not always well-led.

Details are in our well-led findings below.