Archived: The Coach House

At our last inspection in June 2015, the service was rated ‘Good’. At this inspection we found that the service remained ‘Good’.

People continued to receive a safe service. People told us they felt safe living at The Coach House. Staff had attended safeguarding training and were aware of their role and responsibilities in protecting people from avoidable harm and abuse. Risks associated with people’s needs had been assessed and staff had detailed and up to date information about how to assist people in managing any risks. The environment was regularly checked for health and safety, including security. Staff had information available about how to manage any event that could affect the safety of the service. People were supported by appropriate staffing levels to meet their dependency needs. The provider had safe staff recruitment procedures and these were followed. The storage and management of medicines were found to be safe.

People continued to receive an effective service. Staff received an appropriate induction, ongoing training, support and opportunities to review their work. Staff understood the principles of the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards that protected people’s human rights. People were involved in the development of the menu and their nutritional needs were known and understood by staff. People were supported to attend health appointments with primary and specialist healthcare services, and staff worked well with external healthcare professionals.

People continued to receive good care. People were positive about the staff who supported them and described them as being kind, caring and supportive. Staff demonstrated a good understanding of people’s needs, and respected their privacy and dignity. Staff had detailed, and up to date information to support them to meet people’s individual’s needs and aspirations. People had access to independent advocacy information if they required this support.

People continued to receive a responsive service. People received an assessment of their needs and support plans were developed to support staff on how to meet their needs. People were supported to contribute to their community and participate in opportunities important to them. People had access to the provider’s complaint policy and procedure. Where concerns had been raised they had been responded to appropriately.

The service continued to be well-led. People, relatives, external professionals and staff were positive and complimentary about the service. People and their relatives received opportunities to give feedback about the service and its development. The provider had arrangements in place for monitoring and assessing the quality and safety of the service including the care people experienced.

We saw that staff supported people to maintain and develop their independence, encouraging them to get involved in talks around the house. When we asked people what they liked most about the home one person told us, “I get to be independent and I like that.”

We saw people’s needs were assessed and planned for. We spoke with three people who were using the service during our visit and received positive comments about the support provided. One person told us, “I like it here. The staff are good.”

People were protected from the risk of abuse and staff had guidance and training to ensure they responded appropriately to any incident which might require a referral to safeguarding vulnerable adult’s teams. People we spoke with felt safe with the staff working in the home.

Staff were given training and development to enable them to do their job safely. They were given formal supervision to discuss how well they were working.

We spoke with two people who were using the service during our visit. Both people told us they liked living at The Coach House and that they received all of the support they needed.

We checked the quantities of the medication that was in use at the time of our visit. These tallied with the MAR sheets which showed that people had received their medication at the appropriate times. The people we spoke with indicated that they received their medication and did not raise any concerns in this area.

The people we spoke with felt that there were always enough staff available to meet their needs. One person said, “Generally I’m independent but I know staff are there to support me when I need it. They always check on me at night as well which I like.”