We carried out a review of the data available to us about Coombe Road 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 Coombe Road, you can give feedback on this service.
Coombe Road is a residential care home providing personal care and accommodation for up to seven people with a learning disability in one adapted building. At the time of our inspection there were seven people using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
People were supported to have choice and control over their lives. People were active and chose the activities they engaged in. Staff made timely referrals to health and social care professionals to ensure people’s needs were assessed and met.
Right Care
Staff were kind and caring to people. People and staff knew each other well and staff understood people’s individual ways of communicating. People received their care safely because staff were trained and supervised, and people’s risks were assessed and mitigated. People’s needs were assessed and reviewed, and their care was person-centred.
Right Culture
Coombe Road is a larger than usual services for people with a learning disability. However, the service promoted a person-centred culture by focusing on people’s unique needs and individual preferences. The service gathered feedback from people and their relatives and took action in response. The provider checked the quality of care people received and developed action plans to ensure continuous improvements. 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.
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 rating for this service was Good (published 09 January 2018).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.
We 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 COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Coombe Road provides personal care for up to eight adults with a learning disability. There were seven people living in the service at the time of our inspection. Coombe Road is a ‘care home’. 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. Coombe Road accommodates up to eight people in one three story building. The ground floor and garden are accessible to people using a wheelchair.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service 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 were protected from abuse and neglect by a staff team that had been trained to identify and report abuse. People were provided with information to report any concerns they may have about their own safety. Staff assessed risks to people and implemented plans to mitigate them. The homes environment and equipment were safe and staff followed appropriate hygiene practices to protect people from infection. Robust recruitment practices were followed to ensure that staff were suitable to deliver care and there were enough staff available to keep people safe. Staff administered medicines in line with the prescriber’s and people were protected by the preparedness of staff to respond to an emergency.
People’s needs were assessed prior to their admission to the service and then reassessed periodically or when their needs changed. Staff were supervised and trained and their performances were appraised. People’s nutritional needs were met and they were supported to access the services of healthcare professionals whenever they were required. People were treated in accordance with the Mental Capacity Act 2005 and were supported with appropriate referrals when restrictions were required to keep them safe.
Staff were described as caring by people and they provided people with emotional support. People were encouraged to be as independent as possible and to develop their everyday living skills. Information was available in an accessible format for people. Staff respected people’s dignity and privacy and supported people around their culture and spirituality.
People received care that was personalised to their needs and preferences. Staff supported people to engage in activities at home and in the community. Procedures were in place to support and respond to people’s complaints and end of life care needs when required.
People and staff expressed confidence in the registered manager who encouraged an open culture. The registered manager sought and acted upon the views of people and involved staff in shaping the service. The quality of care and delivery was robustly audited and the service undertook partnership working with others.
This inspection of Coombe Road took place on 1 and 5 October 2015. The first day of the inspection was unannounced. At our last inspection in September 2013 the provider met the regulations we inspected.
Coombe Road is a care home that provides accommodation and personal care for up to eight people with complex learning disabilities, communication needs and behaviours that may require a response from staff.
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.
Two people told us they liked living at Coombe Road and said staff were kind and caring towards them. There was a relaxed and friendly atmosphere when we visited.
There were clear procedures in place to recognise and respond to abuse and staff had been trained in how to follow these. Staffing numbers were sufficient to help make sure people were kept safe.
People received care in line with their wishes and preferences. Each person had an individualised support plan and activity schedule to make sure they received the support they required.
People were supported to have their health needs met. Staff at Coombe Road worked with other healthcare professionals and obtained specialist advice as appropriate to help make sure individual health needs were met. We saw that people’s prescribed medicines were being stored securely and managed safely.
Staff attended regular training which gave them the knowledge and skills to support people effectively. Staff had received training in the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).
People and their relatives said they felt able to speak to the registered manager or other staff to raise any issues or concerns.
The registered manager supported staff to deliver appropriate care and support. There were systems in place to monitor the quality of the service and obtain feedback from people and their representatives.
We spoke to two people using the service about the food provided at the home. One person said 'I like the sandwiches, I help to make them, staff do the cooking and it's good. I also like Chinese food and we have that sometimes too'. The other person said 'Sometimes I like the food and sometimes I don't. I like the Shepherd's pie. We say what we want to eat and the staff get it for us'.
A relative said 'The home is meeting my daughter's needs. The staff are terrific, they always let me know what's going on. They often talk with me about the things my daughter likes to do and ask for my opinion'. They said they had recently completed a satisfaction survey and felt the home listened to what they had to say. They said they would contact the registered manager if they needed to make a complaint and they were sure that their complaints would be listened to and acted upon.
We saw that the home had been fitted with new windows and doors, toilets and bathrooms had been refitted and a new boiler had been installed. The registered manager told us the flooring was due to be replaced, the home would be redecorated and new furniture would be purchased.
One person said about the staff. 'They are nice and kind and treat me well'. The other person we spoke to said 'They're alright I suppose'.