We carried out a review of the data available to us about The Coach House 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 The Coach House, you can give feedback on this service.
The Coach House is a registered care home for adults with learning disabilities. At the time of our inspection the home was providing personal care to one person. The service can support up to two people.
People’s experience of using this service and what we found
We found an identified risk which required the COSHH cupboard to be kept locked, during our inspection we found this was unlocked. The deputy manager acted immediately to ensure this was locked to minimise the risk to people living in the home.
People’s risks were assessed and monitored and detailed in their care plan with specific guidance to support staff. Staff knew people and knew how to support them to meet their needs.
The provider had infection and control procedures in place. Some areas of the home required refurbishment to help keep them clean. However, the provider had plans in place to complete the required works.
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. This was a targeted inspection that considered risks to people and the monitoring of those risks. Based on our inspection of risk we found people’s choice and independence was promoted through their risk assessments which formulated their plan of care. For example, one person’s care plan included a person specific decision-making guide to support staff, with choices which were preferred by the person. Their care plans included documentation which were person-centred and promoted people’s dignity, privacy and human rights through easy read and pictorial formats. People’s interactions with staff showed staff shared values which encouraged people to have inclusive and empowered lives through their everyday routines.
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 10 October 2019).
Why we inspected
We undertook this targeted inspection to check on a specific concern we had about another location under this provider based on the monitoring of people’s risks. The overall rating for the service has not changed following this targeted inspection and remains good.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Coach House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The Coach House is a care home providing personal care to one person with a learning disability at the time of the inspection. The service was a small domestic style home. It was registered for the support of up to two people. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Quality assurance tools in relation to the person's medicines had not always identified where improvements were required. Despite this, the person was supported by trained staff to receive their medicines as prescribed. The provider had not met their legal requirement to notify CQC where required.
The person was supported to maintain a balanced diet and were encouraged to engage in meal choices and preparation. The person accessed healthcare professionals as required. Staff worked closely with professionals to ensure the person received effective support that was based on their preferences.
The person was 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. The person was supported by safely recruited staff who knew them well.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that the person can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for the person reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. The person's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The registered manager reviewed the quality of the service and lessons were learned when things went wrong to ensure risks to the person were reduced. The person and their family felt able to raise concerns with the management team and we saw complaints were responded to in line with the provider's policy.
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 14 December 2015). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.