Coppice Lea

Updated 15 November 2019

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.

Inspection team

The inspection was carried out by three inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Coppice Lea is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also reviewed information we had received from the service, such as statutory notifications of accidents and incidents and any safeguarding concerns. We used all of this information to plan our inspection.

During the inspection

We spoke with nine people who used the service and seven relatives and one visitor about their experience of the care provided. We spoke with eight members of staff including the provider’s regional manager, registered manager, assistant manager, senior care workers, care workers, the chef and a healthcare professional. 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 reviewed a range of records. This included 9 people’s care records and multiple medication records. We looked at 4 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 15 November 2019

About the service

Coppice Lea is a residential home providing personal and nursing care for up to 53 people. The service is provided in one adapted building which is divided into four wings, but with a communal lounge, activity and dining area. At the time of our inspection 41 people were living at the service.

People’s experience of using this service and what we found

People said they were cared for by staff who were kind and caring. People told us they felt there was enough going on at the service to keep them busy and they enjoyed the entertainment. However, we found that people who remained in their rooms may not always receive social stimulation and have made a recommendation to the registered provider in respect of this.

People’s care plans were detailed and staff used these to understand the care people required. However, we did find some areas of documentation that required improvement. We have made a recommendation to the registered provider in relation to this.

People lived in an environment that was maintained and cleaned to a good standard. People told us they could remain independent and the environment had some signage and communication aids for people living with dementia. People had access to healthcare professional involvement if they needed it and they received the medicines, food and hydration they required to help retain a good sense of wellness.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were given privacy when they wished it, but also enabled to move around freely and independently in a safe way.

People were helped to stay safe as staff understood their responsibility to report any concerns and staff followed guidance in place in relation to people’s individual risks.

People were cared for by a sufficient number of staff on the day of inspection and staff told us they felt they were trained and supported in a way that enabled them to carry out their role competently.

Quality assurance checks were carried out to help ensure people lived in a service that was safe. Actions identified from these checks were addressed. People were asked for their feedback and this was used to help improve the service. Staff worked with other agencies to help improve the service people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 24 October 2018).

Following the last inspection, we asked the provider to complete an action plan to tell us how they planned to address the shortfalls. At this inspection we found sufficient improvement had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.