About the serviceCoombes Wood House is a care home without nursing and is registered to provide accommodation and support for up to 39 older people. Coombes Wood House provides care for people living with dementia, physical disabilities and mental health conditions. At the time of the inspection there were 38 people living there.
People's experience of using this service and what we found
People were happy at the service and spoke positively about the care they received. Relatives praised staff for the support they provided.
Risks to people were effectively assessed and monitored. Medicines were managed safely. Staffing levels were monitored to ensure people were supported safely. People were safeguarded from abuse. Effective infection prevention and control systems were in place.
Staff received regular training, supervision and appraisal. Staff all spoke positively about their experience working at Coombe Wood House, especially praising the registered manager and deputy manager.
People received effective support with eating and drinking. Staff worked well with external professionals to ensure people received the support they needed. Health professionals praised the staff for positive outcomes when supporting people with complex needs.
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.
People received personalised support based on their assessed needs and preferences. A range of activities took place and people were supported to maintain their relationships and interests. The provider had a complaints procedure in place.
The registered manager and provider maintained good governance systems. Monitoring of activities for individuals, re-positioning and food and fluids required a more robust system but this was put in place during the inspection and staff were knowledgeable about what to do. Feedback was regularly sought and acted on. People, relatives and staff spoke positively about the culture and values of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 16 March 2021 and this is the first inspection. The last rating for the service under the previous provider was Requires Improvement, published on 7 August 2019.
We also looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.