CQC report explained · a nursing home
What the CQC found at Coach House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe and inspectors found suitable safeguarding, risk management, staffing and infection control arrangements. Some improvements were needed in medicine records and in validating references.
- Effective?
- Good
- People's needs were assessed before moving in and staff had relevant training and support. Food, specialist healthcare and arrangements under the Mental Capacity Act were viewed positively.
- Caring?
- Good
- People and relatives described staff as attentive, considerate and respectful. People were involved in care decisions and inspectors found good attention to comfort, dignity and personal appearance.
- Responsive?
- Good
- Care was planned with people and staff generally supported preferred routines. The home provided personalised activities, communication aids, family contact and support for end of life choices.
- Well-led?
- Requires improvement
- People and staff spoke positively about the manager and the home's culture. However, new governance systems were not yet embedded, and incomplete records meant important monitoring was not always effective.
What inspectors found, June 2022
Coach House Nursing Home is rated Good overall, but inspectors rated well-led Requires Improvement because quality records and checks were not always complete.
This was an unannounced inspection. Two inspectors and a specialist adviser visited on 12 April 2022. They spoke with five people, four relatives and six staff, and reviewed care plans, medicines records, monitoring charts and management records.
Inspectors found people were safe, treated with kindness and received care that met their needs. Staffing levels were considered safe, medicines were generally managed safely, food was well received and people had access to healthcare and activities. The home also supported people's choices, communication needs and end of life wishes.
The home was rated Good for Safe, Effective, Caring and Responsive. It was rated Requires Improvement for Well-led because new quality checks were not yet fully effective and some records were incomplete. The manager took immediate action during and after the inspection, and inspectors found no impact on people's care from the issues identified.
Safe staffing and safeguarding
People felt safe, staff understood how to report abuse and staff said staffing levels allowed them to provide safe care.
“Staff were trained in safeguarding and understood their responsibility to protect people from avoidable harm and abuse.” from the report
Food and nutrition
The chef knew people's preferences, allergies and dietary needs. People and relatives gave positive feedback about the food and nutrition.
“People were happy with the quality and variety of the food offered to them.” from the report
Kind and respectful care
People described staff as caring and respectful. Inspectors found people in bed were comfortable, clean and well presented.
“People told us staff were respectful when talking to them or providing them with care.” from the report
Personalised activities and communication
People had activity plans based on their interests. The home also used larger call bells and sound amplifiers to support communication.
“Each person had a person-centred activity plan to ensure they were given opportunities to involve themselves in hobbies and interests of their choice.” from the report
Access to healthcare
The home worked with GPs, specialist nurses and the local hospice. Relatives said healthcare advice and support were obtained quickly when needed.
“People received external, specialist healthcare support when they needed it and staff and management worked closely with other professionals to promote positive outcomes for people's care.” from the report
Quality checks were not yet reliable
needs fixingThe new monitoring systems needed more time to become effective. Some records were incomplete, including fluid monitoring for a person with a catheter and blood sugar checks.
“Records were not always fully completed to enable effective monitoring to take place.” from the report
Medicines records and competency checks
needs fixingThe home needed to improve records for opened eye drops and liquid medicines, patch medicine administration and checks. Formal medicine competency assessments and records for nursing staff were also missing.
“Formal assessments of medicine competency for nursing staff were not being carried out according to NICE guidelines and records of medicine competency and observation were not kept.” from the report
- 01What changes have you made to ensure the new quality assurance systems are now fully embedded?
- 02How do you check that fluid intake and output records are completed for people with catheters?
- 03How do you make sure blood sugar monitoring is completed when requested by a GP?
- 04How are opened eye drops and liquid medicines dated, and how are patch medicines checked and recorded?
- 05How do you assess and record nursing staff competency in administering medicines?
This was the first inspection of the newly registered service and covered all five key questions, including infection prevention and control; the report says the previous provider was rated Requires Improvement in 2019. This explanation was written from the published report of 9 June 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Coach House Nursing Home
2 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- June 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2019Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2020
Registered with the Care Quality Commission on 9 November 2020.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Worcestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.