Care Home: The Coombs

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What the care home does well The home has a good system in place for assessing the needs of potential residents, planning their care and working to meet their health, personal care and medicationneeds. The home produces detailed and individualised care plans to guide staff in meeting residents needs. Controlled drugs are stored securely with good record keeping in place. The environment of the home is well maintained and clean with plans for redecoration of the dining room. Robust recruitment procedures are in place to protect residents. Accidents and incidents are recorded and reported to us when required. Two requirements made at the last key inspection of the home in 2007 were checked and the home had complied with these. What the care home could do better: Nothing identified at this inspection. Random inspection report Care homes for older people Name: Address: The Coombs Sparrow Hill Coleford Glos GL16 8QE three star excellent 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: Adam Parker Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Coombs Sparrow Hill Coleford Glos GL16 8QE 01594833200 01594837615 manager.thecoombs@osjctglos.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Gaynor Elizabeth Hughes Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Orders of St John Care Trust care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who may be accomodated is 40 The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home The Coombs provides accommodation for up to 40 residents who require nursing and personal care. It is an attractive property, situated within its own spacious private grounds, and lies within easy reach of the town of Coleford. The Coombs is a listed property, and comprises of a main house, where accommodation for up to 16 residents Care Homes for Older People Page 2 of 8 Brief description of the care home is provided on two floors, accessed by a shaft lift. There are three additional small lodges, known as Holly, Oak and Beech, in which there is accommodation for a further twenty four residents, eight in each unit. All areas of the home are pleasantly furnished and well maintained. A selection of comfortable communal facilities is also provided. The extensive beautifully maintained gardens are easily accessible and may be enjoyed by the residents in the summer months. Information about the home is available to prospective residents and interested parties in the printed Service User Guide, known as the Residents Handbook, and a copy of the most recent inspection report is attached to the homes Statement of Purpose, which is readily available in the home for anyone to read. Information about fee levels was not checked at this inspection. Care Homes for Older People Page 3 of 8 What we found: This random inspection took place on one day in May 2010 with one inspector. Before the inspection we received a number of survey forms that had been completed by residents at the home and members of staff. The home also supplied us with a completed Annual Quality Assurance Assessment (AQAA). This gave us information about the service such as where they thought they did well and areas that could be improved. It also gave us some numerical information called a Dataset. A tour of the premises was undertaken, all areas were found to be clean, fresh and well maintained. The registered manager described plans for the redecoration of the dining room. The laundry had cleanable floor and wall surfaces and hand washing facilities were available. We looked at the records for two residents who had recently moved into the home. The home had undertaken full assessments of the residents needs before they moved in and had obtained information from funding authorities and health care professionals. Care plans had been completed that covered a variety of assessed needs, they were individualised and detailed giving clear instructions for staff to follow. A number of risk assessments were in place for residents and there were records relating to input from health care services. Medication records for the two residents were looked at and were in good order. Controlled drugs were stored securely in the home with accurate records being kept and regular stock checks. Staff recruitment was looked at. Examination of the files of recently recruited staff showed that robust recruitment procedures were in place with all the required information and documentation being obtained before a member of staff started work in the home. One member of staff was spoken to and they told us about the training they had received which was relevant to their role in the home. Accidents and incidents had been recorded and where required, these had been reported to us. We received nine survey forms from residents at The Coombs completed by them or with help from relatives. All of them indicated that they Always received the care and support and the medical care they needed. In addition they all indicated that the home was Always fresh and clean. One resident commented The home is particularly good in the friendly and caring approach of the carers and staff. We received seven survey forms from staff working in the home. All indicated that they were being given training that was relevant to their role and helped them to understand the individual needs of the residents. One member of staff commented on the excellent team spirit and another on the good working atmosphere. What the care home does well: The home has a good system in place for assessing the needs of potential residents, planning their care and working to meet their health, personal care and medication Care Homes for Older People Page 4 of 8 needs. The home produces detailed and individualised care plans to guide staff in meeting residents needs. Controlled drugs are stored securely with good record keeping in place. The environment of the home is well maintained and clean with plans for redecoration of the dining room. Robust recruitment procedures are in place to protect residents. Accidents and incidents are recorded and reported to us when required. Two requirements made at the last key inspection of the home in 2007 were checked and the home had complied with these. 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 Older People Page 5 of 8 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People 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 Older People 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 Older People 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. 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