Background to this inspection
Updated
24 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
164 Coleshill Road is a ‘care home’. People in care homes receive accommodation and nursing or 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.
The service did not have a manager registered with the Care Quality Commission. A new manager had been appointed and had submitted their application to become registered with us. This means that they and the provider will be legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who works with the service and the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections.
The provider had completed a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with the manager, the care manager, two care assistants, the chef and a member of domestic staff. We observed the interactions between staff and those people who either could not talk with us or who demonstrated a preference not to talk with us.
We reviewed a range of records. This included two people’s care records and three medication records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
24 December 2019
About the service
164 Coleshill Road is a residential care home, providing accommodation, support and personal care for up to seven people living with dementia. On the day of our inspection there were seven people living there.
People’s experience of using this service
There were enough staff to provide the support and encouragement people needed as well as respond to their social needs. People’s care plans included risk assessments related to their individual needs and abilities. Staff understood their responsibilities to challenge poor practice and to raise any concerns people were at risk. There was an open culture within the home of sharing learning when things went wrong, or accidents occurred.
Improvements had been made to ensure staff had the training and support to feel confident and competent in their roles. People received the support needed to access health care services and were given their medicines as prescribed. People told us the food was very good and they enjoyed it.
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.
Staff enjoyed providing an environment where people could relax and enjoy all the benefits of feeling ‘at home’. People told us staff were kind, considerate and helpful in their approach. Staff understood how important it was to help people be as independent as possible and used these opportunities to promote people’s privacy and dignity.
People’s care plans were personalised to their needs and showed an appreciation of people as individuals. People were offered opportunities to engage in activities and events they were interested in.
In the 12 months prior to our inspection there had been significant managerial changes at 164 Coleshill Road. During the period of managerial change, the provider’s policies and procedures to ensure the quality of the home had not been implemented effectively. The new management team had taken steps to improve the service’s quality monitoring systems. However, they recognised these systems were very new and needed to become embedded into the fabric of the home to drive improvement.
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 overall rating for this service was good (published 7 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.