Care Home: Coach House Nursing Home The

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well The pre-admission assessments are thorough and the majority of people commented that they had sufficient information about the home before choosing to live there. People said they were very well cared for and that they received `very good care and attention`. The people who live at the home and their relatives confirmed that they know how to raise a concern or make a complaint, if they needed to. The staff are aware of their responsibilities if they believe that neglect or poor care practice is taking place and were confidant that if they raised any issues the manager would investigate. People spoke very highly of the manager and the whole staff team. Relatives told us that the staff were always welcoming and willing to `go the extra mile, to improve things`. There are thorough recruitment and selection procedures in place, to make sure that staff are suitable and safe to work with the people who live at the home. All the staff receive a range of training to equip them with the skills and knowledge they need to do their work properly. Staff told us that they were very happy working at the home and that they felt valued. What has improved since the last inspection? The home has continue to build upon the excellent service it provides. We were told in the AQAA that the home has utilised some of the quality assurance systems to `critically analyse` the service it provides, and from this bring about changes. We were also told that the there is planned improvements to the environment and refurbishment and redecoration will continue in the home. The home continues to train and supervise staff, this ensures that the work force at the home has up to date skills and knowledge in caring and supporting people properly. What the care home could do better: There have been no requirements made from this inspection. The manager and staff team must continue to maintain and build upon the excellent service it is providing. Key inspection report Care homes for older people Name: Address: Coach House Nursing Home The Sharow Cross Sharow Ripon North Yorkshire HG4 5BQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Bridgit Stockton     Date: 2 1 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 23 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Coach House Nursing Home The Sharow Cross Sharow Ripon North Yorkshire HG4 5BQ 01765600541 01765600189 admin@coachhouse-nh.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Allan Broadbent,Mrs Glennis Carolyn Broadbent care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 5 day care places Age range 60 years upwards Date of last inspection Brief description of the care home The Coach House is a care home providing nursing care for up to 42 older people that may require nursing care. It is a large detached property situated in its own grounds in the village of Sharow, close to the centre of Ripon. Local shops and amenities are located in the village or within the Ripon town centre. There are extensive well kept garden areas that are easily accessible for all service users. Parking is available at the home. Information about what services are available at The Coach House is provided to service users and potential service users in the form of a `Statement of Purpose. The most recent Commission for Social Care Inspection report is also made available to service users and those looking at the home at the same time. Once residence is taken up all service users are `presented with a `Residents Handbook that gives extensive Care Homes for Older People Page 4 of 23 0 Over 65 42 Brief description of the care home and detailed information about what is available for service users and information on daily routines. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of this inspection was to assess the quality of the care and support received by the people who live at the home. The methods I used to gather information included a visit to the home, conversations with the people who live there, their relatives, healthcare professionals and the staff. I looked in detail at the care and records of four people, examined other records and looked around the home. I spent six hours at the home. The manager also completed some paperwork for us called an annual quality assurance assessment(AQAA). This provides valuable information to help me form a judgement about the quality of service offered at the home. We also asked people who use the service to complete some surveys for us. Some of these comments have been used in this report. Care Homes for Older People Page 6 of 23 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are properly assessed before moving into the home. This makes sure people can be looked after safely. Evidence: The care plans I looked at showed that comprehensive pre admission assessments had been carried out before offering someone a place. This is to make sure that the home can meet the persons needs. A senior member of staff usually the manager visits the person at home, or in hospital to discuss their care needs. The administrator (Mr Broadbent) told me that he had visited someone with the manager the day before the inspection to assess them for admission to the home. He told me that he had taken his lap top with him on the assessment as it has some photographs of the home on it, so that the person could see what the home was like. This is a really good idea as it gives people the opportunity to see the home if they are unable to visit the Coach House independently before admission. People told me they had been given good information about the home before choosing Care Homes for Older People Page 9 of 23 Evidence: to live there. One person explained that they had come to view the home and found the staff to be very welcoming and helpful. They said there was no choice to be made this was the best home we looked around and the friendliest staff. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Excellent systems are in place to ensure that people are cared for, and supported properly. People are shown respect and their privacy and dignity is protected. Evidence: I looked at four care plans in detail, to make sure that peoples health and personal care needs are being met in the way the person prefers. I found the plans to be comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems were well documented and sensitively written. The plans demonstrated that people are in receipt of individual planned care and support. The plans had been reviewed regularly and changes had been made when someones care needs had altered. During my visit I looked at how peoples medication was looked after by the staff at the home. Administration of medication is carried out properly and audited by the manager on a regular basis. I checked the controlled drugs in the home. A record is made of all drugs that have been destroyed, however in some cases, the controlled drug registered had not been amended to reflect this. It is recommended that staff Care Homes for Older People Page 11 of 23 Evidence: make an entry in the register and get a witness signature when controlled drugs have been disposed of. People were treat with dignity and respect. Care is carried out discreetly and staff are very aware of how people should be treat in order for peoples dignity to be protected. Relatives confirmed that they were kept up to date with any changes or incidents that effected the care of their relative. One relative said that they were always informed of any changes, and felt very reassured by this. They said they felt that their relative was being properly looked after and cared for. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recreational and social needs of people are excellently catered for, which enables them to make daily choices and promotes independence. Evidence: People told me that they enjoyed the activities that were on offer. One person showed me the monthly activity sheet that tells each person what activity is planned for each day. The program was varied and included church services, trips and outings, outside entertainment and craft sessions. One person told me that they enjoyed taking part in most of the activities, and staff would often remind them of what event was taking place. The majority of people we spoke to told us that they enjoyed the food that was provided at the home. The menus at the home had recently changed. This had come about because some people had commented in the homes quality assurance questionnaire that they were not happy with the choice of food available. The management team had listened to what people had said and acted to rectify the situation. People told me that the routine in the home was flexible. One person told me they always had breakfast in bed, another person said they often did not get into bed until late because they liked to watch television. One person said we can please ourselves Care Homes for Older People Page 13 of 23 Evidence: what we do, the staff help us when ever we need them. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. Evidence: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirmed they were aware of these. Staff knowledge of these helps ensure that they are able to address any issues or anxieties of the residents, relatives and visitors to the home. People who live at the home told me they would speak to the manager or any of the staff if they had any concerns or complaints. A relative told me that they had a concern that they had raised with the manager. They said that she had looked into the concern immediately and were very impressed at the way in which the manager had handled the situation. They said although the concern was minor the manager was brilliant in resolving the issue. They said that they would not hesitate to speak to her or any of the staff if they were unhappy, as they had confidence that what ever the concern no matter how minor it would be dealt with properly. Staff told me that training has taken place in the protection of vulnerable adults in abuse. I looked at four personnel files and found that staff recruitment procedures were adequate and staff were employed and deployed following appropriate checks. Care Homes for Older People Page 15 of 23 Evidence: The manager and staff team were clear and confident in the protection of vulnerable adult procedures. Care Homes for Older People Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable, safe and well maintained home. Evidence: All the bedrooms that I saw reflect the persons individual preferences and taste. There is a program of redecoration for the bedrooms, as well as for the rest of the home. Several bedrooms and some communal areas have recently been redecorated and look fresh and attractive. The bedroom doors all have locks, and there is a lockable storage space in the bedrooms. This means that people can keep their belongings private and secure. There are planned improvements to take place over the next year and these include upgrading the kitchen, refurbishing two en suite facilities and the redecoration and refurbishment of some bedrooms. I inspected the laundry and found it to be well organised. Staff told me that they had attended training in the control of infection. They also confirmed that they had a supply of disposable gloves and aprons available. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are knowledgeable, skilled and on duty in sufficient numbers to meet the assessed needs of people who live at the home. Evidence: The rotas and staff numbers suggest that there are enough staff on duty at all times to meet the needs of the people who live at the home. One relative wrote staff are always available they answer the buzzers quickly. Another person wrote The staff are excellent well trained and can be trusted. The home employs some fantastic staff. The manager makes sure that staff have the necessary training to help them do their work as well as possible. There is a wide range of courses available and the records confirmed that the staff are allowed the time to attend. Mandatory training has taken place in the protection of vulnerable adults, infection control and first aid. Staff were currently being trained in safe moving and handling procedures. Some staff files were inspected they demonstrated that staff had been recruited properly and appropriate checks had taken place before they were accepted to work at the home. Staff who were spoken to during the inspection said that they felt that the training they received was good and relevant. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and very well managed. People who live and work at the home can contribute to the decision making processes. Evidence: The manager has the qualifications and the skills to manage the home effectively. Residents and relatives meetings are held, and are well attended. The home sends out questionnaires to relatives and people who use the service in order to gain information about how people view the service and what improvements they would like to see. One person wrote in a survey the manager is superb, she does a brilliant job. Policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. Staff have basic health and safety training. All these measures make sure that the health, safety and welfare of the people who live at the home is promoted Care Homes for Older People Page 19 of 23 Evidence: and safeguarded. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 Although a record is made when drugs are destroyed, when controlled drugs are destroyed a record should also be made in the controlled drug register. Care Homes for Older People Page 22 of 23 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!