Background to this inspection
Updated
16 December 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This unannounced inspection took place on 9 November 2015. The inspection team comprised of one inspector. As part of the inspection, we reviewed the information we held about the home and looked at the notifications they had sent us. A notification is information about important events which the provider is required to send us by law.
During the inspection, we spoke with eight people who lived at the home and two relatives. We spoke with the owner, manager, one nurse and three care staff. We looked at two records about people’s care, five medicine records, falls and incidents reports and checks completed by the provider.
Updated
16 December 2015
The inspection was unannounced and took place 9 November 2015.
Coach House Nursing Home is registered to provide accommodation, nursing and personal care for adults who have a dementia related illness for a maximum of 17 people. There were 15 people living at home on the day of the inspection.
There was a registered manager in place. However whilst they were not actively involved in the day to day running of the home there was a day to day manager in post. The manager was supported by one of the owners of the home. A 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 told us they felt safe and staff were available to support them. People were helped by staff to reduce the potential risk of harm and abuse. Medicines were given to people as prescribed or as they needed them. People felt they had staff that were always around and they did not have to wait for assistance. Staff at the home agreed they were able to look after people and meet their needs, without delay.
Assessments of people’s capacity to consent and records of decisions had not been completed. The provider could not show where people had not been able to give their consent to care and treatment or that the relevant people had been consulted. People told us they liked the staff and felt they knew how to look after them. Staff also ensured they listened and responded to people’s day to day choices about their care and support.
Staff were provided with training that they told us helped them understand and know how to provide care in areas like dementia care. Staff were supported by the manager and provider and told us they were able to speak to them for advice and guidance when needed.
People enjoyed the choice of meals and had been supported where further assistance or particular diets were needed. People had accessed other health and social care professionals when needed to support their health. People were helped to contact and arrange appointments with services which were not available within the home. They had regular visits from one local GP surgery when needed.
Staff knew the care needs of people who felt involved in their care and treatment. Staff were clear about the levels and expected care needs of people at the home. People’s privacy and dignity were respected and staff were kind to them. People had been involved in the planning of their care and relatives were involved in supporting their family members care.
People were able to spend time doing the things they enjoyed and in an environment they liked. People and relatives both felt that staff were approachable and listened to their requests. Staff also felt confident to raise any concerns of behalf of people.
The management team were approachable and visible within the home and people knew them well. The manager spent time with people and staff and people were positive about them. The provider had kept their knowledge current and they led by example. The provider and manager had made regular checks to monitor the quality of the care that people received and look at where improvements may be needed.