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Inspection report

Date of Inspection: 9 September 2014
Date of Publication: 25 October 2014
Inspection Report published 25 October 2014 PDF | 93.28 KB

Overview

Inspection carried out on 9 September 2014

During an inspection to make sure that the improvements required had been made

When we visited Coundon Manor in June 2014, we identified some concerns around care and welfare of people, equipment, staffing, the management of medicines within the home and the systems in place to monitor the quality of service provided. Following our inspection, the provider sent us a plan setting out the actions the service was taking to ensure improvements in these areas.

On 9 September 2014 two inspectors visited the home and on 15 September a pharmacy inspector visited the home to check the actions had been implemented.

The registered manager referred to at the front of this report is not the current manager of the service. The registered manager has not yet cancelled their registration with the Care Quality Commission.

During our visit we spoke with the manager, deputy manager, operations manager, 10 staff, five visiting relatives and five people who used the service.

Below is a summary of what we found. The summary describes what people told us, what we observed, the records we looked at and what staff told us. We used the evidence we collected during our inspection to answer five questions.

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

We found sufficient staff to meet the needs of people during the day. Because of staff sickness, we could not determine from observation whether there was sufficient staff at night. The provider has agreed to monitor this and report their findings to us in the next six weeks.

We found some errors and omissions in medication management meant people were not always kept safe.

Is the service effective?

People were supported by staff who have the necessary skills and knowledge to meet their assessed needs.

Management had plans to promote good practice and develop the knowledge and skills of existing and new staff.

Is the service caring?

People were treated with kindness in their day to day care. Staff supported people to maintain their dignity, and were respectful when providing care.

Is the service responsive?

The manager had implemented systems which encouraged people to be involved in the planning and review of their care.

The service had an effective complaint's procedure.

Is the service well-led?

The new management team have been in post for a short period of time. During this time they have improved the quality of service provision, and introduced systems which more effectively monitor the quality of care provided.

Since our visit they have acted swiftly to address the new concerns we had regarding medication management.