2 March 2022
During an inspection looking at part of the service
Coxley House accommodates people in one building across two floors, with each person having their own bedroom with toilet and sink, with four communal bathrooms. There was a communal living and dining area, a sensory area, a main kitchen and access to a secure garden.
We found the following examples of good practice.
There were robust procedures in place to ensure visitors could enter the home safely, which included temperature checks, a requirement to provide a negative lateral flow device (LFD) COVID-19 test result and proof of vaccination against COVID-19.
The service was taking part in regular COVID-19 testing for people and staff in line with current guidance.
The management team had translated COVID-19 information and provided a translator to help one person understand the importance of COVID -19 guidelines and the legal requirement to isolate when they tested positive.
People and their relatives were given information about visiting and COVID-19 guidelines, and regularly discussed any changes and updates at resident meetings. Staff supported people to be involved and supported one person to provide demonstrations about hand washing techniques and encouraged other people to follow best practice.
Staff had ongoing IPC training and we observed staff following best practice during the inspection. Management carried out IPC audits and regular spot checks on staff, with them being asked to demonstrate donning and doffing their personal protective equipment (PPE). One staff member said, "They keep us on our toes and are always asking us to demonstrate this, also during team meetings."
The staff team used the COVID-19 outbreak as a learning experience and how they could improve their everyday IPC practices. Staff told us this was discussed in team meetings and they had a lessons learnt workshop. The registered manager said, "We all certainly learnt a lot from the outbreak and has made us emphasise more in team meetings about IPC and what we are doing to keep people and staff safe."
The home was clean, hygienic and free from odour. There were clear guidelines for staff to follow to ensure cleaning schedules and best practice was followed. The provider had implemented zoning measures and there were protocols in place for cleaning communal bathrooms if there was an outbreak.
Staff told us they felt incredibly supported in their role and highlighted the positive working environment the management team created. Staff were kept updated, had access to an employment assistance programme, with a focus on wellbeing during staff supervision. One staff member said, "They have been tremendous and are very approachable. Even when they are not on shift they check how we are doing. We are all on board and it is a very positive environment. I have 100% confidence in the managers."