We carried out a review of the data available to us about Collins 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 Collins House, you can give feedback on this service.
About the service: - Collins House caters for up to 45 older people, some of whom might be living with dementia. The service is purpose built with 45 single rooms. Part of the service is used as rehabilitation and interim placements for people. At the time of our inspection 44 people were using the service. The service had spacious living areas and was set over two floors. Access to the first floor was via stairs, a chair lift or a lift. The service was set in a residential area with easy access to the local community and had a large garden.
People’s experience of using this service: People were very complimentary of the service and staff. One person said, “It is fantastic here.” Another person said, “All the staff are lovely, very helpful.”
The service was safe.
¿ Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
¿ There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents.
¿ People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff.
¿ Medication was dispensed by staff who had received training to do so.
The service was effective.
¿ People were cared for and supported by staff who had received the appropriate training.
¿ The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
¿ 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 support this practice.
¿ People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required.
¿ The environment was well maintained and suitable for the needs of people.
The service was caring.
¿ Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care.
¿ Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed choices.
The service was responsive.
¿ People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis.
¿ People were supported to follow their interests and participate in social activities.
¿ The registered manager responded to complaints received in a timely manner.
¿ Staff were trained to deliver support to people at the end of their life.
The service was well-led.
¿ The registered manager had systems in place to monitor and provide good care and these were reviewed on a regular basis.
Rating at last inspection: Good (report published 6 April 2016)
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.
Collins House is registered to provide personal care and accommodation for a maximum of 45 older people, some of whom may be living with dementia related needs. There were 43 people receiving a service on the day of our inspection.
A registered manager was in post. 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. The registered manager was supported by a deputy manager and team of senior care staff to ensure the daily management of the service.
The provider had effective recruitment procedures in place to protect people from the risk of avoidable harm. Staff were supported and received appropriate training which ensured they had the right skills and knowledge to meet people’s needs. People told us the home was a safe place to live and that there was sufficient staff available to meet their needs. Staff understood the risks and signs of potential abuse and the relevant safeguarding processes to follow. Risks to people’s health and wellbeing were appropriately assessed, managed and reviewed. Accidents and incidents were recorded and monitored to identify and mitigate reoccurrence. There were safe systems in place for receiving, administering and disposing of medicines and people received their medication as prescribed.
Care plans were person centred and included people’s preferences and individual needs. Care plans were regularly reviewed and people were involved in the planning of their care. Relatives were also invited to be involved in the review of their family member’s care. People told us they were happy with the care and support they received; they were treated with dignity and respect and care was provided in a kind and caring way. People’s nutritional needs were met and they were provided with a choice of meals. People received support to access health and social care professionals and services.
There was an effective system in place to regularly assess and monitor the quality of the service provided. The registered manager was able to demonstrate how they measured and analysed the care and support provided to people, and how this ensured that the service was operating safely and was continually improving to meet people’s needs.
We found that Evidence that people were involved in the planning of their care, for example people had signed copies of their person centred care agreements within their care notes.
Relatives of people who use the service told us that they were happy with the service and that they were asked for their views and invited to meetings. They also said that they thought their relative were included in planning their care.
People using the service were encouraged to provide feedback on meals to the chefs who attended resident's meetings. People said that they found the food was good. Staff that we spoke with said that they would always offer people something different if they didn't like what was on the menu.
The MAR (medical administration record) prescription sheets were seen and there were no missing signatures or gaps in dispensation times. The as required medication protocol was clear and concise.
We looked at a recent complaint and saw that the complaints system was followed.. Furthermore the service had identified areas of learning from the complaint and had completed an action plan.
There were detailed individual care plans with evidence of the involvement of other health care professionals in providing person centered care. There was evidence of choices offered. One resident required a special diet to comply with their religious beliefs. This was accommodated by the home with support and guidance from family members. Regular meetings for people who lived in the home and staff took place, a record of these was kept and actions taken following these meetings were documented.
People were supported in promoting their independence both within the home and in the community. One person who was due to return home said this home ''Gave me the confidence to return to my own home'. Another person said there is 'Love and warmth here' and the staff are 'Genuinely happy and really look after us'.
People told us that they felt well treated and that the staff listened to them. They said that they had received a full assessment of their needs before moving in and that they were regularly asked about their care. They told us that the staff were always kind and friendly.
People told us that the food was good. They said the food was tasty and that they got plenty of it. One person told us that they got offered sandwiches and lovely home made cakes every day or a hot tea such as beans on toast or soup. People said that there was always a choice of meals and that they could have something different if they fancied it.
People said that they felt safe living in Collins House. They told us that the staff treated them well and were quick to respond if they needed any help. People appeared very relaxed and happy in the company of staff. They said that the staff gave them their medication and that they were happy for them to do so.
People told us that they were happy with their rooms. They said that they contained everything they needed and that they had been able to bring personal items from home if they had wished. They told us that Collins House felt homely and that they liked the way it had been set out with little reminders from the past. One person said that seeing all of the different articles such as hats, beads and other old fashioned things helped them to remember things that they sometimes forgot.
People told us that they liked the staff. They said that all of the staff treated them well and were nice and friendly. They told us that they thought that staff must be well trained as they always knew what they had to do to meet their needs.
People told us that regular meetings had been held where they discussed how the home was run. They said that they were often asked about how they felt and what they wanted. They told us that staff always checked with them to make sure that they were meeting their wishes.