CQC report explained · a nursing home
What the CQC found at Coble House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found good risk assessments, enough staff, safe recruitment, clean premises and safe medicines management.
- Effective?
- Good
- People’s needs were assessed and care reflected their current needs and choices. Staff had suitable training and worked with other professionals to support people’s health, nutrition and hydration.
- Caring?
- Good
- Staff were described as caring and knew people well. They respected privacy, dignity and independence, and involved people in decisions about their care.
- Responsive?
- Good
- Care records were personalised and regularly reviewed. The home offered activities, welcomed visitors and provided experienced end-of-life care, although people had mixed views about the number of activities.
- Well-led?
- Good
- The home had a positive, person-centred culture. Inspectors found strong quality checks, staff involvement, open management and work with external professionals.
What inspectors found, March 2020
Rated Good; inspectors found safe, kind and personalised care, with some people wanting more activities.
This was a planned inspection, with an unannounced first day and a second day arranged to finish the work. Inspectors spoke with 10 people, 10 relatives and staff. They reviewed care records, staff files and the home’s quality and safety records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, clean premises, well-managed medicines and suitable training. People’s health needs were assessed and care plans reflected their choices.
Inspectors found staff to be kind and respectful. People were involved in decisions, supported to stay independent and offered activities and one-to-one time. Most people were positive about activities, although one person said more were needed.
The overall Good rating means inspectors found the home met the expected standards and delivered good care at the time of the inspection. The previous overall rating was also Good, published on 5 August 2017.
People felt safe
People and relatives told inspectors they felt safe. Risks were assessed and action was taken after incidents to help prevent them happening again.
“People said, "Yes I do feel safe in here. It is my home” from the report
Kind and respectful staff
Staff were caring, knew people well and supported their privacy, dignity and independence.
“Staff were very caring and knew people well. They protected people's privacy and dignity and respected their wishes.” from the report
Personalised care
Care plans recorded people’s wishes and preferences. People, relatives and professionals were involved in planning and reviewing care.
“Care records were personalised and held clear information about how people wanted to be supported.” from the report
Good health support
Staff worked with external professionals and responded when people’s needs changed. Nutrition, hydration and special diets were managed.
“Staff worked well with external professionals to support people's health and well-being.” from the report
Strong management checks
The manager and provider used regular audits and shared learning with staff. Inspectors found a positive culture and good partnership working.
“A clear quality assurance system was used to check the service.” from the report
Some people wanted more activities
minorActivities included entertainers, parties, crafts and one-to-one time. However, feedback was mixed, and one person said they sometimes became bored.
“More activities are needed I think as personally I get bored in here.” from the report
- 01How would you tailor activities to my relative’s interests, and how would you respond if they became bored?
- 02How will you assess and manage my relative’s specific health and nursing needs?
- 03How often will my relative’s care plan be reviewed, and how will they and our family be involved?
- 04What staffing levels and skills will be available when my relative needs help?
- 05How will you support my relative’s communication needs, choices and independence?
This was a planned inspection covering all five key questions and the overall quality and safety of the care home. This explanation was written from the published report of 18 March 2020 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.
What inspectors found, August 2017
Rated Good; inspectors found safe, kind and well-organised care, with a recommendation about records for skin creams.
This was an unannounced comprehensive inspection on 4 July 2017. Inspectors spoke with people living in the home, relatives, staff and a visiting healthcare professional. They reviewed care plans, medicines records, staff files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safeguarding procedures, suitable risk assessments, enough staff, safe oral medicines management, clean premises and robust staff recruitment and training.
People were treated with kindness and respect. Care plans were person-centred, healthcare needs were supported, and activities included trips out and community links. Complaints had been dealt with and the home had systems to monitor quality.
Inspectors recommended improving records for topical medicines such as creams and ointments. The home put new charts in place during the inspection and said these would be checked daily. The overall Good rating remained unchanged from the July 2015 inspection.
Kind and respectful care
Inspectors saw warm, positive interactions. Staff knew people well and promoted privacy, dignity, choice and independence.
“Staff displayed a kind and compassionate approach when interacting with people.” from the report
Person-centred care plans
Care plans covered daily care, health and social needs and included people's preferences. Inspectors found the records matched the care being provided.
“We found that they did which meant people received care which was appropriate to their current needs.” from the report
Food and healthcare support
People received a choice of meals and support to eat and drink. The home arranged access to a range of health professionals when needed.
“Staff supported people to receive a healthy and nutritious diet.” from the report
Activities and community links
The home offered group and one-to-one activities, trips out and opportunities to maintain community connections.
“We found there continued to be a wide and meaningful programme of activities on offer” from the report
Quality monitoring
Managers used regular audits, reviews and improvement plans to monitor care, medicines, safety and staffing. Inspectors found the quality monitoring system effective.
“Our findings on the day of this inspection confirmed that there was an effective quality monitoring system in place.” from the report
Topical medicine records
needs fixingSome creams and ointments did not have opening dates, and topical medicine records were not routinely completed. This could make it harder to check expiry dates and application instructions, although inspectors found no impact on people's health.
“We noted that topical medicines such as cream and ointments were not always labelled with an opening date.” from the report
Staff deployment at mealtimes
minorStaff were busier upstairs at mealtimes because more people there needed help to eat. The manager said the deployment of staff at key times would be reviewed.
“We noted staff were busier upstairs over mealtimes as there were more people with complex needs who required assistance to eat their meal living on the upper floor.” from the report
- 01How are creams and ointments labelled with opening dates now?
- 02How are topical medicines recorded, including where and how each cream should be applied?
- 03What changes were made to staff deployment upstairs at mealtimes?
- 04Have you completed the planned formal survey of people and relatives, and what did it show?
- 05How will you make sure care plans continue to be updated when people's needs change?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall quality of the service. This explanation was written from the published report of 5 August 2017 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 Coble House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 1 November 2011.
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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30 live-in carers within about an hour of North Tyneside
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 £950 to £1,130 a week. 26 can care for a couple. 10 years' experience on average.
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