Updated 25 April 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was conducted by two inspectors.
Service and service type: The Coach House is a care home. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse and safeguarding. We also sought feedback from the local authority. We assessed the information in the provider information return. This is key information providers are required to send us about their service, what they do well and any improvements they plan to make. This information helps support our inspections.
During the inspection, we spoke with the three people who used the service to ask about their experience of the care provided. We spoke to two family members who visited during our inspection and two family members after the inspection.
We observed staff providing support to people in the communal area of the service so we could understand people's experiences. By observing the care received, we could determine if they were comfortable with the support they were provided with.
We spoke with five members of staff including the registered manager and the interim quality manager. We contacted a number of professionals who were involved in people’s care at the Coach House and we received three replies.
We reviewed the care plans for all three residents, including medication records. We looked at a range of records about the home and how the service was managed, including complaints, compliments and feedback; three staff recruitment files; the provider's whistle-blowing, supervision, disciplinary and equality and diversity policy; medication competency checks; maintenance records; health and safety, infection control, and medication audits.