Coombe Dingle Nursing Home

Updated 18 February 2020

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 two inspectors and one specialist nurse.

Service and service type

Coombe Dingle Nursing Home 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

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and six relatives about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, senior care workers, care workers and the chef. We also completed observations throughout the inspection, as some people who lived in the home were unable to verbally communicate with us.

We reviewed a range of records. This included ten people’s care records and multiple medication records. We looked at four 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, quality assurance records and a business continuity plan. We spoke with the activities co-ordinator who was not working on the day of the inspection.

Updated 18 February 2020

About the service

Coombe Dingle Nursing Home is a residential care home providing personal and nursing care to older people that have a disability or may be living with dementia. The service can support up to 35 people. At the time of the inspection there were 30 people living at the service. The care home accommodated all people in one adapted building.

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

People told us they felt safe living at Coombe Dingle Care Home. People were supported by caring staff that were well trained, experienced and were knowledgeable in identifying different safeguarding concerns and how to report them.

The home was clean and staff followed good infection control practises. People were supported to eat and drink enough to meet their nutritional needs and received their medicines from qualified staff following safe procedures.

Risks were identified, assessed and managed well, and this was all recorded in people’s individual care plans. Care plans were regularly reviewed and any change in needs recorded. Care plans and the care people received were person centred and individual preferences, likes and dislikes were catered for by staff.

There were a range of activities to meet individual needs and the service was decorated and designed to meet the needs of the people living there. People had access to social and health care professionals when required and referrals were made in a timely manner.

People were treated with dignity and respect and encouraged to be as independent as possible. People received care responsive to their needs and people said their friends and relatives felt comfortable in the home.

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 support this practice.

People were supported with health and social care referrals and these were completed in a timely way. Any guidance provided by external professionals were followed well by staff. There was a complaints procedure in place and the management team and staff regularly sought feedback to improve the service.

Staff felt supported in their roles and were regularly supervised to ensure any issues were identified and addressed quickly. The registered manager had thorough audit processes in place to ensure standards at the home remained good and any concerns were identified quickly and addressed.

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

Rating at last inspection

The last rating for this service was Good (published 13 July 2017).

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.