We carried out a review of the data available to us about The Coach House 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, you can give feedback on this service.
The Coach House is a nursing home providing personal and nursing care for up to 65 people. The service supports people living with dementia and mental health needs. At the time of the inspection the service was supporting 55 people. The home is split into separate units. People have access to their own bedroom along with communal spaces including lounges and gardens.
People's experience of using this service and what we found
The service was safe. People received support in line with their care and support plans. Individual risks to people were considered and reviewed. There were infection control procedures in the home that were followed. We found medicines were managed and stored in a safe way and people received this as prescribed.
People were happy living in the home and with the staff team that supported them. There were enough suitably recruited staff to support people. There were safeguarding procedures in place to ensure people were protected from abuse.
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.
Systems were in place to ensure people’s care was monitored, audits were consistently completed and reviewed to drive improvements where needed. Lessons were learnt when things went wrong. Staff felt supported and listened to and had the opportunity to raise concerns.
We were notified about significant event within the home in line with regulatory requirements and the previous rating was displayed.
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 good (Published 10 July 2019).
Why we inspected
We received concerns in relation to an incident in the home where someone did not receive support in line with their care plan. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Coach House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
The Coach House is a nursing home providing personal and nursing care to 62 adults with mental health or dementia needs at the time of the inspection. The service can support up to 66 people.
People’s experience of using this service and what we found
The care people received was safe. Risks to people were considered and reviewed. There were safeguarding procedures in place and these were followed. Medicines were managed in a safe way. There were enough staff available for people. Infection control procedures were implemented. Lessons were learnt when things went wrong in the home.
The care that people received was effective. 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. Staff received training that helped them support people. People received support from health professional and referrals were made when needed. People enjoyed the food available and were offered a choice. The environment was adapted to meet people’s needs.
People were happy with the staff that supported them and were treated in a kind and caring way. People were offered choices, encouraged to remain independent and their privacy and dignity was maintained.
People received care that was responsive to their needs. The care they received was individual to their needs. Their likes and dislikes were considered. People had the opportunity to participate in activities they enjoyed. There was a complaints procedure in place.
There were audits in place which were effective in continually developing the quality of the care that was provided to them. Feedback was sought from people and relatives who used the service, this was used to make changes. There was a registered manager in post and staff felt supported and listened to
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. (23 August 2016)
Why we inspected
This was a planned inspection based on the previous rating.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
The provider had not always carried out appropriate recruitment checks before staff started working at the home. Staff knew how to recognise and report potential abuse. Risks were assessed and managed, giving consideration to people’s changing mental health needs. People’s medicines were stored and managed safely and people received their medicines as prescribed by their GP or consultant.
People felt the staff team had the skills and knowledge required to support and care for them. Assessments of people’s capacity had been carried out, and where people’s rights and freedoms had been restricted this had been done lawfully. People were happy with the variety and quality of food and drink provided and were supported to access relevant healthcare professionals when required.
People felt they were supported by staff who were friendly and approachable. People diverse needs were understood and met by staff who knew them well. Staff supported people in a way that maintained their privacy and dignity and were aware of people’s personal and health needs.
Staff had a good understanding of people’s life histories as well as their needs and preferences. People were happy with the way they were involved in their care and support planning. People knew how to complain and the provider had a system in place to manage complaints.
People and staff told us they felt the home was well managed. People, relatives and staff were invited to give feedback and contribute to the development of the home. The registered manager was supported by the provider to monitor the quality of care provided. There were systems in place to monitor the effectiveness of the service and these were used to drive improvement.