Background to this inspection
Updated
22 March 2019
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The comprehensive inspection took place on 15 January 2019 and was unannounced.
One inspector undertook this inspection.
The provider had completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed previous inspection reports and notifications received from the service before the inspection. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing any potential areas of concern.
During our inspection, we observed care and spoke with one of the people living at the service and one relative. We also spoke with the provider and their partner.
We looked at care records for both people including their medication administration records (MAR).
Updated
22 March 2019
The Coach House is a residential care home for three people. At the time of our inspection there were two people living at the home. The third room was occupied by the providers mother.
People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Coach House provides care and support to older people who require minimal assistance with their personal care. The home does not provide nursing care or on-duty night cover. This is clearly documented in people’s contracts. The contracts stated that people were not accommodated if, ‘The resident needs help moving or needs care between 22.30 and 07.30. All the accommodation is located on the ground floor and there is level access to the patio and garden area.
At our last inspection in July 2016 we rated the service good. At the inspection we found that the provider had not kept up to date with changes in legislation and good practice guidelines. We saw that documentation referred to outdated legislation. This was identified as an area that required improvement. At this inspection we saw that the required improvements had been made.
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. The provider and her partner told us that they had not undertaken any training since the previous inspection in 2016. We did not assess that any harm had occurred as a result of this shortfall, but this is an area we identified as needing to improve.
This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good.
The service had a positive culture that was person-centred. There was an emphasis on individualised care. People were supported to have maximum choice and control of their lives and the provider supported them in the least restrictive way possible . People told us they did not wait when they needed assistance.
The provider was proud of the service and their work. They felt that the service provided a homely environment promoting people to remain as independent as possible for as long as possible. People were supported to maintain contact with their relatives. People received a varied and nutritious diet which was home cooked by the provider from fresh ingredients.
People had plans of care and risk assessments. Medicines were managed safely.
Further information is in the detailed findings below.