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Inspection Summary


Overall summary & rating

Good

Updated 26 February 2020

About the service

Coniston House is a care home providing personal care up to 27 older people in one adapted building. At the time of our inspection there were 26 people living in the service, some of these people were living with dementia.

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

The provider and registered manager’s governance systems were not robust enough to give an overall view of the service and how it was assessed, monitored and how ongoing improvements were being implemented. The registered manager told us they were addressing this after our inspection.

People were receiving a service where the risks to their daily living were assessed and mitigated to reduce the risks of avoidable harm and abuse. There were systems in place to reduce the risks to people, this included with safe medicines management and infection control. There were enough staff working in the service to provide people with the care they needed.

Staff were safely recruited, trained and supported to meet people’s needs. People’s needs associated with their dietary and health needs were assessed and met. 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. The environment was suitable for people using the service.

People were provided with a caring service. Staff knew people well and spoke with and about people in a compassionate way. People’s rights to privacy, dignity and independence were promoted and respected.

People’s individual care needs were assessed, planned for and met. People’s decisions about how they wanted to be cared for, including their end of life decisions where people had chosen to discuss this, were documented. There was a complaints procedure in place and people’s concerns and complaints were acted on and addressed.

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

Rating at last inspection

The last rating for this service was good (published 16 August 2018).

Why we inspected

This was a planned inspection based on the previous rating.

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

Good

Updated 26 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 February 2020

The service was not always well-led.

Details are in our well-Led findings below.