Latest Inspection
This is the latest available inspection report for this service, carried out on 27th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for The Coach House.
What the care home does well The service has continued to provide good community access to the people living the home and also promote positive relations between staff and service users. Staff are supported to complete regular training. What the care home could do better: The following requirements from the previous inspection are yet to be completed. All risk assessments should be regularly reviewed and updated when necessary. The Statement of Purpose and Service User should be reviewed and updated. All staff should receive regular formal supervision. The service also needs to ensure that while it shares a Registered Manager with an adjoining service, sufficient management hours are in place to ensure that the home is effectively run and managed and that the actions and requirements identified are addressed. Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Coach House Mythe Road Tewkesbury Gloucestershire GL20 6ED one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Simon Massey Date: 2 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: The Coach House Mythe Road Tewkesbury Gloucestershire GL20 6ED 01684299507 01684299507 Thecoachhouse@kentwoodsupport.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Hanif Mohamed Patel Type of registration: Number of places registered: Conditions of registration: Category(ies) : Lifeways Community Care (Gloucester) Ltd care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 The maximum number of service users who can be accommodated is 5. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home The Coach House is part of a large house that has been divided in two to provide two registered care homes. The home provides care and support to service users who have challenging behaviours. The home is set in its own large grounds a mile outside the town of Tewkesbury. Accommodation is provided over two floors. The residents all
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home have single rooms. There is a communal dining lounge area and a small kitchen. A small staff office is provided but the managers office is located in the adjacent home. The home provides 24-hour care and support and also organises its own day care activities. There is a designated staff team supported by the Manager who is currently going through the registration process. The homes Statement of Purpose and Service User Guide provide information as to the services that the home provides. The current fee range for the home is GBP1600 to GBP2000 per week. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This random inspection was undertaken on 27 th May 2010 and lasted for three hours. The Inspector met with the Registered Manager, members of the care staff and also observed three of the people who live in the home. Various records were examined and also an inspection of the environment was undertaken. At the time of the visit builders were working in the home replacing some flooring and also some decoration was being undertaken after some alterations had been completed. There have been no admissions since the last inspection and the Statement of Purpose and Service User guide are yet to be updated. At the time of this visit the care plans had been taken away from the home to be reviewed by the area manager and were not available for examination. The newly appointed manager stated that no reviews had taken place. Basic details were still available in the home and there was evidence that regular recording was being completed. The three people living in the home have continued to enjoy regular access to the community, all had been out at least twice on the day this visit. The home is being updated to improve the facilities and parts of the living space. People appeared settled in their accommodation. Builders were working in the house at the time of this visit, fixing new floors and altering some of the rooms. A new office has been built. A new kitchen had been fitted and a new pathway installed across the driveway. There seemed to be some confusion over how the work was being managed. The Inspector was concerned about the noise of the builders radios and also how the work was being cooridnated in line with meeting the needs of the people living in the home. The Manager stated that they were getting the people out of the house as much as was possible and that the builders were known to the service users. The Manager stated that one new staff member had been appointed since the last inspection, though the records were not available as the manager said all these were in the head office. There was evidence that new staff member had done induction training and some mandatory training. Staff were observed working well with service users. Supervision was not yet being done regularly with all members of the staff team and there had only been one staff meeting in the past six months. The Manager said that he had been initially concentrating on the adjoining house, which he is also applying to be registered for, and had only started doing shifts in the home on a regular basis in the last few weeks. This was an unsatisfactory arrangement as the service requires an appropriate amount of management hours not just to address the issues identified at the previous inspection but also for the day to day efficiency of the running of the service. A quality assurance inspection had recently been undertaken by the Provider and copy of
Care Homes for Adults (18-65 years) Page 4 of 8 this was subsequently supplied to the Commission. This has identified a number of actions for the Manager to follow up. This included updating the Statement of Purpose and Service User Guide and completing a new environmental risk assessment. The support plans are to be improved to include more detail and ensure the full involvement, as far as possible, of the people living in the home. A programme of staff supervision is to be introduced. Also it was stated that for an initial period some additional support and supervision is to be put in place for the Manager. There has also been an experienced Deputy appointed. What the care home does well: 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 set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 4&5 The Statement of Purpose 23/08/2009 and Service User Guide must be reviewed and should be easily available within the home All risk assessments should be regularly reviewed and updated when necessary 23/08/2009 2 9 13 3 35 18 All staff should receive 23/08/2009 regular recorded supervision Care Homes for Adults (18-65 years) Page 6 of 8 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, 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 Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
