11 April 2018
During a routine inspection
At the last inspection in January 2016, the service was rated Good.
At this inspection we found the service remained Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Why the service is rated Good;
Although people raised concerns about the staffing arrangements in the home, the provider was taking action to ensure vacant staff shifts were covered. There were systems in place to ensure suitable staff were recruited.
People were supported by staff who knew how to recognise and report abuse. Risks to people were identified and risk management plans were in place. Medicines were managed safely. Measures were in place to prevent the risk of the spread of infection. There were systems in place to record and review any accidents or incidents that occurred.
On the first day of the inspection our observations of the mealtime experience were mixed. People received a diet to meet their individual needs and we saw systems were in place to enable people to give their feedback regarding the menus.
People received effective care from staff who had the skills and knowledge to meet their needs. Although some staff in The Coach House had not received supervision in line with the providers policy, staff spoken with felt supported by their managers.
Staff monitored people’s health and well-being and made sure they had access to other healthcare professionals according to their individual needs.
People’s rights were protected because the correct procedures were followed where people lacked capacity to make specific decisions for themselves.
People were supported by staff who were kind and caring. Staff spoke positively about people; they demonstrated empathy and were able to tell us about people’s likes, dislikes and what was important to them.
People received care that was responsive to their needs and personalised to their wishes and preferences. People had access to a range of organised and informal activities which provided them with mental and social stimulation.
People could be confident that at the end of their lives they would be cared for with kindness and compassion and their comfort would be maintained.
There were procedures in place to manage complaints. Where complaints had been raised these were responded to and action was taken where required. The manager and provider treated complaints as an opportunity to learn and improve.
The provider had systems in place to monitor the quality of the service, seek people’s views and make on-going improvements.
Further information is in the detailed findings below.