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Coundon Manor Care Home Good

All reports

Inspection report

Date of Inspection: 10 December 2012
Date of Publication: 5 January 2013
Inspection Report published 5 January 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 10 December 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

The provider did not have an effective system in place to regularly assess, manage risks and monitor the quality of service that people were receiving.

Reasons for our judgement

People and visitors we spoke with about the home were positive in their views. They told us: “I think they do the best they can, it’s not an easy job looking after a lot of old folk.” “I have a bit of fun here…”

We looked at how the home monitored the quality of the care and services it provided. We found improvements were required across all of the standards we reviewed. This included attention to privacy and dignity, the delivery of care, care plans, risk assessments, staffing, safeguarding people and the quality monitoring process.

Audits had been carried out to monitor the quality of service such as monitoring people’s weight, bed rails and dependency. However, these had not all been kept up-to-date to ensure they could be appropriately acted upon.

We asked the deputy manager to provide us with any information to show whether people were happy about their care. The deputy manager was unable to provide this. She told us a recent survey had been conducted and the information had been sent to head office. The outcome of the survey was not available to us on the day of the inspection.

We saw records showing that people and relatives had been invited to attend meetings where could give their views about the service. We could not see evidence that views and suggestions given by people had been acted upon.