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Inspection Summary


Overall summary & rating

Good

Updated 11 May 2019

About the service: Combs Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. Combs Court can accommodate up to 29 people, there were 22 people using the service on the day of our inspection. The service comprises of four houses on one site and one house is further subdivided into individual flats. There are also two separate self-contained flats which were not occupied at the time of our inspection.

At the time of registration the service was not developed in line with the principles of and values of Registering the Right Support however the service is working towards these principles. These values include choice, promotion of independence and inclusion.

People’s experience of using this service:

¿ At our last inspection of 31 January 2018, the service was rated requires improvement overall. The key questions for safe and caring were rated good and the key questions for effective, responsive and well-led were rated as requires improvement.

¿ As that was the second time we had rated the service as requires improvement we met with representatives of the organisation in order for them to tell us how they planned to improve the service. At this inspection we found improvements had been made and the service is now rated good overall and in all key questions.

¿ People told us that they were content with the service. One person commented, “There are lots of things to do here.” A relative told us, “Things have improved because the staff have more time to spend with [my relative].”

¿ The service had systems in place to keep people safe.

¿ Risks to people had been assessed and plans had been written to mitigate the risks.

¿ The registered manager used a dependency tool to determine the hours required to support people and then arranged the staffing rota to ensure there were sufficient staff on duty.

¿ People’s medicines were managed safely.

¿ Infection control procedures were in place to reduce from the risks of cross infection.

¿ People had access to health professionals when needed. People were supported to maintain a healthy diet.

¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

¿ Staff supported people to cook some meals for themselves and to go shopping for food.

¿ People’s privacy, independence and dignity was respected.

¿ People’s needs were assessed prior to them coming to live at Combs Court for the purpose that the staff could meet their needs and their care plan was reviewed monthly or more frequently should the need arise.

¿ People were listened to in relation to their choices about how they wanted to be cared for.

¿ There was a complaints procedure in place and people’s complaints were addressed. People were asked for their views about the service and these were valued and listened to.

¿ People’s individual interests had been recorded and the service had increased meaningful activities to support people to achieve their individual interests.

¿ There was a service governance process in place designed to monitor and improve the service.

Rating at last inspection: At our last inspection on 31 January 2018 the service was rated requires improvement overall and the report was published on 16 April 2018.

Why we inspected: This inspection took place as part of our planned programme of inspections, based on the rating of requires improvement made at our last inspection.

Follow up: We will continue to monitor this service according to our inspection schedule.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 11 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 11 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 11 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 11 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 11 May 2019

The service was well-led

Details are in our Well-Led findings below.