Background to this inspection
Updated
26 August 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by two inspectors and an assistant inspector.
Service and service type
Coney Green Residential Home 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
We met and spoke with six people who used the service. We used a range of different methods to help us understand people's experiences. Some people were unable to tell us their experience of living at the home, so we observed how the staff interacted with people in communal areas. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with 10 members of staff, including support workers, team leaders, senior support staff, deputy manager and the registered manager.
We reviewed a range of records. This included three people's care records and three people’s medicine records. We also reviewed the process used for staff recruitment, including records in relation to training and records relating to the management of the home and a range of policies and procedures developed and implemented by the provider.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at policies, training data and quality assurance records. We spoke with four relatives and two professionals who have been involved with the service.
Updated
26 August 2021
Coney Green is a residential care home offering personal and nursing care for up to nine people with learning disabilities and physical disabilities or long-term conditions. At the time of the inspection there were eight people living in the home.
People’s experience of using this service and what we found
We saw two incidents of staff not following best practice in relation to infection prevention and control practices. These were addressed immediately with staff by the registered manager, giving us assurances, these issues had been resolved.
Staff demonstrated an understanding of supporting people with dignity and respect. However, we observed one incident where a staff member was using their personal mobile phone in a person’s bedroom, when the person was present. This was addressed immediately by the registered manager, when brought to their attention.
The provider had developed a range of audits and quality assurance checks to assist with driving improvement within the service.
People were clearly comfortable, relaxed and happy around care staff and staff understood how to keep people safe.
Training for staff to understand people's individual circumstances had been provided.
Staff understood who to report concerns to as well as the risks to people's health.
Staff had very good knowledge and understood people's health conditions and the support they required.
The risks to people's health were reviewed regularly and care plans updated following any changes.
Safe recruitment and background checks were carried out prior to staff commencing employment.
People’s changing needs were reviewed and staffing needed to support people safely was updated.
People received their prescribed medications safely and in accordance with their specific guidance.
Staff were supported with regular supervisions and training.
Staff supported people to maintain a healthy diet.
People were supported to attend appointments with healthcare professionals and guidance was sought when people’s needs changed.
Staff had a good rapport with people and told us they liked the staff supporting them.
Staff we spoke with understood people's individual care needs and preferences. Staff involved people in their care by explaining choices and supporting people to make decisions about their care.
People were supported to pursue hobbies and interests that were important to them.
People knew who to speak with if they were unhappy about their care.
Complaints were recorded and responded to in line with the registered provider's policy.
Staff supporting people understood the importance of obtaining their consent.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Right support:
• Model of care and setting maximises people’s choice, control and
independence
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human
rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people
using services lead confident, inclusive and empowered lives
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (published 17 May 2019).
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.