Archived: Coppice Lodge

Updated 5 July 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook a focused inspection of Coppice Lodge on 31 May 2017. This inspection was completed to check that improvements had been made so that the provider was now meeting the legal requirements after our comprehensive inspection on 25 and 26 October 2016. We inspected the service against one of the five questions we ask about services; is the service well led. This is because the service was not meeting legal requirements in relation to that question.

The inspection was undertaken by one inspector. Before our inspection we reviewed the information we held about the home, this included the provider’s action plan, which set out the action they would take to meet legal requirements. We also contacted the local authority about information they held about the provider.

During our inspection we spoke to one person who lived at the home, and used different methods to gather people’s experiences of what it was like to live at the home. We spoke with the registered provider who was also the registered manager, the deputy manager, two senior care staff and two care staff. We looked at audits of incidents and accidents, medication audits, three people’s care records, diary appointment system, three staff supervision records and staff meeting minutes.

Updated 5 July 2017

We carried out an unannounced comprehensive inspection of this service on 25 and 26 October 2016. At which two breaches of legal requirements were found. This was because the registered provider checks and audits did not assess, monitor and drive improvement in the quality and safety of the services provided. In addition, the registered provider had not made all relevant notifications to Care Quality Commission (CQC). A notification is information about important events which the provider is required to send us by law and CQC requires this information to look at the risks to people who use care services.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches. We undertook a focused inspection on the 31 May 2017 to check that they had followed their plan and to confirm that they now met legal requirements.

This report only covers our findings in relation to these requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Coppice Lodge’ on our website at www.cqc.org.uk’

Coppice Lodge is registered to provide accommodation and personal care for a maximum of eight people. There were seven people living at the home on the day of the inspection.

There was a registered manager in place who is also the registered provider. 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.

Since the last inspection the provider had made changes to the staffing team and had appointed three senior carers to provide further support to staff and develop lead roles within the home. Staff told us that supervisions and staff meetings were now in place and that they were able to ask for advice and support when needed from the senior carers. Staff told us this supported them to provide more responsive care. We saw that senior care staff had recently completed supervision training to support the completion of regular staff supervisions.

All staff we spoke with said there had been improvements in the management of the service and this had a positive impact on the care and support provided. Staff told us people were being supported with more responsive care, for example, there were now more activities within the home based on people’s individual choices

Checks and audits were now in place to monitor and drive improvement in the quality and safety of the services provided. For example, there was now a system of audits to record and monitor accidents and incidents in place to identify trends, so staff could take appropriate action to reduce the likelihood of events from happening again.

Records showed notifications had been made as required to CQC. A system was now in place to record and monitor Deprivation of Liberty (DOL) applications and authorisations. However, we found that whilst improvements had been made, the provider needed to review systems used to ensure they were robust enough to identify all instances when action needed to be taken.

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