You are here

Inspection Summary


Overall summary & rating

Good

Updated 9 January 2018

This inspection took place on 15 and 17 November 2017 and was unannounced. At our previous inspection in October 2015 the service received an overall rating of ‘Good’.

Coombe Road provides personal care for up to eight adults with a learning disability. There were seven people living in the service at the time of our inspection. Coombe Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Coombe Road accommodates up to eight people in one three story building. The ground floor and garden are accessible to people using a wheelchair.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a registered manager in post. 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.

People were protected from abuse and neglect by a staff team that had been trained to identify and report abuse. People were provided with information to report any concerns they may have about their own safety. Staff assessed risks to people and implemented plans to mitigate them. The homes environment and equipment were safe and staff followed appropriate hygiene practices to protect people from infection. Robust recruitment practices were followed to ensure that staff were suitable to deliver care and there were enough staff available to keep people safe. Staff administered medicines in line with the prescriber’s and people were protected by the preparedness of staff to respond to an emergency.

People’s needs were assessed prior to their admission to the service and then reassessed periodically or when their needs changed. Staff were supervised and trained and their performances were appraised. People’s nutritional needs were met and they were supported to access the services of healthcare professionals whenever they were required. People were treated in accordance with the Mental Capacity Act 2005 and were supported with appropriate referrals when restrictions were required to keep them safe.

Staff were described as caring by people and they provided people with emotional support. People were encouraged to be as independent as possible and to develop their everyday living skills. Information was available in an accessible format for people. Staff respected people’s dignity and privacy and supported people around their culture and spirituality.

People received care that was personalised to their needs and preferences. Staff supported people to engage in activities at home and in the community. Procedures were in place to support and respond to people’s complaints and end of life care needs when required.

People and staff expressed confidence in the registered manager who encouraged an open culture. The registered manager sought and acted upon the views of people and involved staff in shaping the service. The quality of care and delivery was robustly audited and the service undertook partnership working with others.

Inspection areas

Safe

Good

Updated 9 January 2018

The service remained good.

Effective

Good

Updated 9 January 2018

The service remained good.

Caring

Good

Updated 9 January 2018

The service remained good.

Responsive

Good

Updated 9 January 2018

The service remained good.

Well-led

Good

Updated 9 January 2018

The service remained good.