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Inspection Summary


Overall summary & rating

Good

Updated 25 April 2018

We conducted an unannounced inspection at Coppice Lodge on 26 March 2018. Coppice Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Coppice Lodge accommodates up to 64 people in one building. On the day of our inspection, 47 people were living at the home, all of these were older people, some of whom were living with dementia.

At our last inspection in January 2017, we found breaches of the legal regulations related to the safety of the home, consent and person centred care. We asked the provider to take action to make improvements to ensure the service was safe, to ensure people were consulted about their care and support and to make sure people received the support they needed. During this inspection we found the required improvements had been made and the home was compliant with the legal regulations.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People told us they felt safe in the home and there were systems and processes in place to minimise the risk of abuse. Staff had a good knowledge of safeguarding adults and referrals had been made to external agencies when required. Risks associated with people’s care and support were effectively assessed and managed. Staff had a good knowledge of measures in place to ensure people’s safety and equipment was used safely. Risks associated with the environment were identified and managed. Accidents and incidents were reviewed and analysed to try to prevent future incidents. Medicines were stored and managed safely and people received their medicines as prescribed. There were enough staff to provide care and support to people when they needed it, and safe recruitment practices were followed to ensure staff were suitable. The home was clean and hygienic and staff had a good understanding of the principles of infection control and prevention.

People were supported by staff who received training, supervision and support. Staff were knowledgeable and were provided with opportunities to further develop their skills. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People had enough to and drink, mealtimes were positive sociable experiences and people were offered choices. Where people had risks associated with eating and drinking these were well managed. People had access to healthcare and their health needs were monitored and responded to. There were systems to share information between services to ensure care was person centred. The home was adapted to meet people’s needs and further improvements were planned to ensure people’s dementia related needs were accommodated.

People were overwhelmingly positive about the caring approach of staff. Staff treated people with warmth and affection and responded quickly to reduce any anxiety or distress. Staff treated people with respect and upheld their right to dignity. People’s right to privacy was promoted. People were enabled to have control over their lives and were supported to be as independent as possible. People had access to advocacy, if they required, to help them express their views. Staff understood what was important to people and how they communicated and they used this to provide a person centred service to people.

People received the support they required from staff who had a good knowledge of their needs, wishes and prefer

Inspection areas

Safe

Good

Updated 25 April 2018

The service was safe.

People felt safe in the service and there were systems and processes in place to minimise the risk of abuse. People received their medicines as prescribed and these were managed safely.

Risks associated with people�s care and support were effectively assessed and managed. Accident and incidents were reviewed and analysed to try to prevent future incidents.

There were enough staff to provide care and support to people when they needed it. The home was clean and hygienic.

Effective

Good

Updated 25 April 2018

The service was effective.

People were supported by staff who received training, supervision and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to eat and drink enough. People had access to healthcare and their health needs were monitored and responded to.

The home was adapted to meet people�s needs and further improvements were planned to ensure people�s dementia related needs were accommodated.

Caring

Good

Updated 25 April 2018

The service was caring.

Staff were kind and compassionate and treated people with respect. People�s rights to privacy and dignity were promoted.

Staff understood how people communicated and people were provided with information in a way that was accessible to them.

People were enabled to have control over their lives and were supported to be as independent as possible.

Responsive

Good

Updated 25 April 2018

The service was responsive.

People received the support they required from staff who had a good knowledge of their needs, wishes and preferences. People were provided with compassionate support at the end of their lives.

People were offered a wide range of opportunities for meaningful activity. People�s diverse needs were recognised and accommodated.

People were supported to raise issues and concerns and there were systems in place to respond to complaints.

Well-led

Good

Updated 25 April 2018

The service was well led.

The home had a warm and friendly atmosphere and people were overwhelmingly positive about the service provided.

People living at the home were able to express their views in relation to how the service was run and this was used to inform improvement.

Staff felt supported, had a good understanding of their roles and were able to provide feedback and make suggestions for improvement.

There were effective systems in place to monitor and improve the quality and safety of the home.