Background to this inspection
Updated
18 December 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 team consisted of one inspector, one assistant inspector, a specialist advisor nurse and one 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.
Coxhill Manor 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:
Before the inspection we reviewed the information, we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We used all of this information to plan our inspection.
During the inspection: We observed how staff interacted with people. We spoke with 15 people and eight relatives to gather their views. We looked at records, which included 10 people's care and medicines records. We checked recruitment records for four staff. We looked at a range of records about how the service was managed. We also spoke with the provider, the registered manager, two nurses, the activities coordinator and six staff.
Updated
18 December 2019
About the service
Coxhill Manor is a care home. It is registered to provide personal and nursing care for up to 74 people across three floors. At the time of our inspection 51 people living at the service.
People's experience of using this service and what we found
Systems were in place to gain people’s consent to their care. 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’s nutritional needs were assessed and met and feedback regarding meals was very positive. People were encouraged to maintain good diet and access health services when required. People’s bedrooms were personalised and reflected people’s interests and preferences.
The service met the accessible information standards. The Accessible Information Standard (AIS) was introduced by the government in 2016 to make sure that people with a disability or sensory loss are given information in a way they can understand. It is now the law for the NHS and adult social care services to comply with AIS.
The provider, managers and staff were enthusiastic and committed to further improving the service delivered for the benefits of people using it. People spoke positively about the leadership team at Coxhill Manor.
People told us they felt cared for by a staff team that were kind and considerate. People's dignity, confidentiality and privacy were respected, and their independence was promoted. Enough staff were available to meet people's needs and people told us when they needed assistance, staff responded promptly.
The premises were clean, and staff followed infection control and prevention procedures. People's needs were assessed, and care was delivered by staff who were knowledgeable about people's care and support needs. People had access to a wide range of activities and were supported to avoid social isolation.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
Good, report published 9 December 2016.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.