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Inspection Summary

Overall summary & rating


Updated 24 September 2019

About the service

Coxley House is a residential care home providing personal care for up to 13 adults with mental health needs. At the time of our inspection 12 people were living in the service who all had mental health conditions.

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

People and their relatives were positive about the kind and caring attitude of the staff that supported them. One person said, ‘It’s good here. The staff are fantastic and fabulous.”

We observed positive interactions between people and staff throughout the inspection, with staff understanding people’s needs and responding appropriately when people’s behaviours changed.

People were supported to a range of healthcare appointments and staff made the necessary referrals if people’s health changed. Health and social care professionals were confident with the knowledge and experience of the staff team.

People were fully involved in how they received their care and had regular opportunities to discuss with the staff team how they wanted to be supported.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People were supported to take part in a wide range of events and activities and were provided with a personal budget to help with this, in order to promote their health and wellbeing.

People were encouraged to be part of their local community and benefitted from a peer recovery worker who helped to provide advice and support about managing their mental health.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of the thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was Good (published 19 April 2017).

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



Updated 24 September 2019

The service was safe.

Details are in our safe findings below.



Updated 24 September 2019

The service was effective.

Details are in our effective findings below.



Updated 24 September 2019

The service was caring.

Details are in our caring findings below.



Updated 24 September 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 24 September 2019

One aspect of the service was not always well-led.

Details are in our well-led findings below.