Townfield and Coach House

Updated 19 March 2021

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.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 24 February 2021 and was announced. We gave 24 hours' notice of the inspection due to restrictions in place during the COVID pandemic.

Updated 19 March 2021

This inspection took place on 14 November 2018 and was unannounced. Townfield and Coach House is a residential care home that provides accommodation 28 older people, who are living with dementia. At the time of this inspection 25 people were living in the home. People in care homes receive accommodation and 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.

At our last inspection in June 2016 the service was rated 'Good'. At the present inspection the service remained 'Good'. At this inspection we found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The home had a registered manager 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.

People remained safe at the home. People were protected from the risk of abuse because there were clear procedures in place to recognise and respond to abuse. Staff had been trained in how to follow these procedures. Risk assessments were conducted and risk management plans were in place which enabled people to receive care with minimum risk to themselves and others.

The registered manager monitored accidents and falls in order that preventative measures were put in place to avoid reoccurrence and promote the safety of people who use the service, the staff and anyone visiting the home.

Staff had been supported to deliver care in line with current best practice guidance. People were able to eat and drink enough to maintain a healthy weight whist being provided with a balanced diet. People had access to healthcare services so that they received on-going healthcare support.

People were protected from the risk and spread of infection because staff consistently followed the provider's infection control procedures. The home was clean and free of unpleasant odours.

Equipment used to support people was clean, in a good state of repair and was regularly serviced.

Staff had been safely recruited and there were sufficient numbers of staff on duty to meet people's needs in a way which met their preferences and promoted their independence. People told us they felt safe in Townfield and Coach House. Staff had received training in the protection of adults and knew what action they should take if they suspected or witnessed abuse.

Staff knew people well and understood how to meet their needs. People's rights were protected. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. People and their relatives where possible had been consulted about their care and support needs which were assessed before they moved into the home. Care plans and risk assessments included information and guidance for staff about people's needs and how they preferred their needs to be met.

People were enabled to maintain relationships with their family and friends; visitors were made to feel welcome. People were encouraged to participate in organised activities and to go out on trips.

People's medicines were safely managed. We observed that people received their medicines wherever they felt most comfortable.

People's records were kept safely to maintain confidentiality.

The layout and decoration of the home met people's needs. The environment was adapted in order that people could freely move around without restriction or risk to their safety. A great deal of thought had been given to upgrading the environment in order that it promoted wellbeing whilst being dementia friendly, homely and attractive to people living there.

The home was well-managed. The registered manager communicated effectively with staff and relatives. They sought the views of people using the service, their relatives and friends through residents' meetings, relative’s forums and satisfaction surveys.

The provider had a complaints procedure in place and people said they were confident their complaints would be listened to and acted on. The registered manager had effective systems in place to regularly assess and monitor the quality of the service provided to people.