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Inspection Summary


Overall summary & rating

Good

Updated 19 April 2019

About the service: Coundon Manor provides accommodation, nursing and personal care for up to 74 older people, including those living with dementia, physical disability and sensory impairment. At the time of our visit 68 people lived at the home. Accommodation is provided in a purpose-built home across two floors, with communal areas on each floor.

People’s experience of using this service:

•People were supported by staff they knew and there were enough staff to ensure people received timely personalised care that met their needs.

•The providers quality checks supported the service to continually improve. Lessons were learnt when things had gone wrong.

•People’s needs were assessed to ensure they could be met by the service.

•Staff were recruited safely and received the training they needed to be effective in their roles.

•Risk associated with people’s care was effectively managed. People felt safe and were protected from avoidable harm.

•Staff cared about people and understood their individual needs.

•End of life care was provided sensitively and respectfully and in line with people’s wishes and beliefs.

•Medicines were managed and administered safely.

•People and relatives were involved in planning and agreeing their care. Care plans were detailed and up to date.

•The management and staff team worked in partnership with health and social care professionals to improve outcomes for people. People had access to healthcare professionals when needed.

•Staff felt valued and supported by the management team.

•Feedback from people, relatives and staff was used to drive continuous improvement.

•Complaints were managed in line with the providers policy and procedure.

•Activities of interest were available to people and further activities based on people’s preferences were being developed.

•Regular safety checks of the building and equipment were undertaken. However, timely action had not always been taken to rectify issues identified.

•People’s nutritional and hydration needs were met. Staff followed health care professional’s recommendations to support people with food and drink that maintained their well-being.

•The environment was clean, and staff followed good infection prevention and control practices.

•People received information in a way they could understand and were supported to make choices about how to live their lives in the least restrictive way possible.

•Most staff respected people’s rights to privacy and dignity and promoted their independence.

•People and relatives were positive about the service provided and the way the service was managed.

Rating at last inspection: Requires Improvement (report published April 2018)

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 19 April 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 19 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 19 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 19 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 19 April 2019

The service was well-led

Details are in our Well-Led findings below.