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.