We carried out a review of the data available to us about The Coach House Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Coach House Nursing Home, you can give feedback on this service.
The Coach House Nursing Home 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 Coach House Nursing Home is registered to provide accommodation for persons who require nursing and/or personal care for up to 42 people. This may also include palliative and respite care. There were 40 people living at the service on the day we inspected.
The care home is a large detached property situated in its own grounds. Accommodation is provided over three floors and there are two passenger lifts for people who have reduced mobility.
At the last inspection, the service was rated good. At this inspection we found the service remained good.
There were systems and processes in place to protect people from the risk of harm. Staff were able to tell us about different types of abuse and were aware of action they should take if abuse was suspected.
Appropriate checks of the building and maintenance systems were undertaken to ensure health and safety.
People were protected by a robust recruitment process, which ensured staff were suitable to work with people who needed support.
People received their prescribed medicines safely. Medicines were administered by staff who were trained and assessed as being competent to do this.
Staffing levels were sufficient to meet people's needs and to enable them to do be supported in a way that they wished. Staff received support and training to give them the necessary skills and knowledge to meet people's assessed needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Risks to people's safety had been assessed by staff and regularly reviewed to ensure they contained up to date information. Care plans included information about how people preferred to be supported.
People's independence was encouraged and there were a range of activities and events people could participate in.
We saw positive interactions between people and staff and people told us they were happy and felt well cared for. Staff treated people with dignity and respect. They knew people well and respected their individuality.
We saw people were provided with a choice of healthy food and drinks which helped to ensure their nutritional needs were met. People were supported to maintain good health and had access to healthcare professionals and services.
The provider had a system in place for responding to people's concerns and complaints. People were regularly asked for their views and there were effective systems in place to monitor and improve the quality of the service provided.
Further information is in the detailed findings below.
This inspection took place on 27 October 2015 and was unannounced.This meant that the manager and staff did not know we would be visiting the service.
The Coach House is a care home providing nursing care for up to 42 older people This may also include palliative and respite care. The care home is a large detached property situated in its own grounds in the village of Sharow, close to the centre of Ripon. The service has three lounges, a large dining room, garden and private parking facilities. Accommodation is provided over three floors by two passenger lifts. Local shops and amenities are located in the village or within Ripon town centre. On the day of the inspection there were 36 people living at the service.
The service had a registered manager, who had been registered with us since October 2010. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People and their relatives told us they felt safe at The Coach House. Staff knew the correct procedures to follow if they considered someone was at risk of harm or abuse. They received appropriate safeguarding training and there were policies and procedures with regard to reporting allegations of abuse to support them in their role.
The registered manager had worked at the service since 1991.There were enough qualified and skilled staff at the service and staff received ongoing training and management support. Staff had a range of training specific to the needs of people they supported.
Medicines were managed safely. Staff had received the appropriate training and we saw staff offered people explanation and reassurance when their medication was being administered.
People told us that the food was very good, with plenty of snacks and drinks available between meals if people wanted them. We saw people had access to regular drinks, snacks and a varied and nutritious diet. If people were at risk of losing weight we saw plans were in place to manage this. People had good access to health care services and the service was committed to working in partnership with healthcare professionals.
People were offered choices, supported to feel involved. For example people were involved with choosing new furniture for the home. Staff knew how to communicate effectively with each individual according to their needs and people were relaxed and comfortable in the company of staff.
People were provided with a range of activities which met their individual needs and interests. Individuals were also supported to maintain relationships with their relatives and friends.
Staff were patient, attentive and caring; they respected people’s privacy and upheld their dignity when providing care and support.
Staff followed the principles of the Mental Capacity Act 2005 to ensure that people’s rights were protected where they were unable to make decisions.
The service was well-led. Everyone we spoke with was full of praise for the registered manager. Staff morale was high and there was a strong sense of staff being committed to providing person centred care.
There were good auditing and monitoring systems in place to identify where improvements were required and the service had an action plan to address these.
We saw from people's care plans that people were supported to live as independently as possible. Staff at the home had carried out an assessment of the needs of each person, and kept this under review, to enable appropriate care and support to be given.
The service had in place policies and procedures covering medication. People told us they received their medication at the right time. Staff working at the home received regular medication training. This made sure that people received their medication as prescribed.
There were enough staff on duty to meet people's needs. Staff were receiving training on a regular basis and this was monitored by the manager.
There were quality monitoring programmes in place, which included people giving feedback about their care and treatment. This provided a good overview of the quality of the service provided and meant the quality of the service was being kept under review.
We spoke with people about meals at the home. They told us that the food was good.
Everyone we spoke with said that if they were upset or had a complaint they would either speak to the manager of the home or the administrator. One person said 'I would speak to matron and she would sort it out.'
We spoke to two relatives visiting the home. They both spoke highly about the care at The Coach House. Relatives described the home as being 'a lovely home' with 'good staff'. Relatives made comments such as 'They look after (name of person) very well.'
We also spoke with health care professionals about the home. One told us 'The Coach House is quite a nice home. They (staff) keep tabs on all of their patients. Staff are always helpful when we visit.'
We spoke with the Local Authority Contracts Officer and the Infection control nurse who informed us that they did not have any concerns about this service.
People we spoke with also made positive comments about the quality of the food at the home. People made comments such as "The food is excellent you always have a choice" and "The food is quite good - a good variety" One person told us " It is beautiful here I can't complain about anything especially the food"
People said they would either speak to the manager or administrator if they did have a concern or a complaint.
We also talked with several relatives visiting the home. They all spoke highly about the care at The Coach House. Relatives described the care as 'excellent' and 'a very nice home' Relatives made comments such as "Mum's health has improved so much in the time she has been here. They treat her with dignity and respect" Another relative told us "People always seem to be so happy" and another said "Staff are so approachable"
We also spoke with health care professionals who spoke highly about the home. One told us "The Coach House is an absolutely exceptional home - exemplary. I cannot fault it. Patients and relatives tell me that the care is extremely good and I always get a positive feedback from them" Another health care professional said "There are lovely, friendly staff here who will do anything for the residents"
We spoke with the Local Authority Contracts Officer who informed us that they did not have any concerns about this service.