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CQC report explained · a nursing home

What the CQC found at Coppice Nursing Home

Goodpublished 16 July 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe medicine systems, safeguarding arrangements and regular checks of equipment and the building. The home was clean, and staff were seen following infection control practices.
Effective?
Good
People's needs and choices were recorded, staff had the skills needed, and people were supported with food, drink and healthcare. The home worked within the principles of the Mental Capacity Act.
Caring?
Good
Staff treated people in friendly, respectful and patient ways. People and relatives were involved in care planning, and privacy, dignity, independence and cultural needs were respected.
Responsive?
Good
Care was personalised and adapted as people's needs changed. The home offered activities, supported communication needs, listened to complaints and provided compassionate end-of-life care.
Well-led?
Good
Inspectors found an open and welcoming culture. The management team carried out checks, involved people and relatives, shared learning and worked with other organisations.
The latest report, explained

What inspectors found, July 2019

Coppice Nursing Home was rated Good in all areas; inspectors found safe, kind and personalised care with strong management.

This was an unannounced inspection on 20 and 21 June 2019. One inspector spoke with people living in the home, relatives, an advocate, a GP and staff. They also observed care and checked care records, medicine records, safety checks and other management records.

The inspectors found that people were safe and received their medicines as prescribed. Staffing levels were enough to support people without long waits. The home was clean, risks and equipment were checked, and staff had safeguarding and infection control training.

People were treated with kindness, dignity and respect. Their care was adapted to their needs and choices, including their communication, cultural needs, activities and end-of-life care. The home also supported access to healthcare and provided a range of food and activities.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating remained Good, the same as at the previous inspection published in December 2016.

What inspectors praised
  • Enough staff

    People said staff were available when needed, and inspectors saw staff supporting people patiently. Recruitment checks were also completed before staff started work.

    “Throughout the inspection, we observed people being supported patiently and saw staff had time to spend with people.” from the report
  • Kind and respectful care

    Inspectors saw friendly and supportive interactions. People and relatives spoke positively about how staff treated them.

    “Throughout our inspection we saw people being treated in friendly, supportive ways.” from the report
  • Personalised support

    The home adapted care to people's choices and changing needs. Staffing was changed so people could have baths at the time they preferred.

    “People received personalised care that met their needs and choices.” from the report
  • Activities and relationships

    The home offered activities inside and outside the building, including individual activities for people who chose to stay in their rooms. Inspectors saw people enjoying the activities.

    “A variety of relevant activities were arranged both within and outside the home.” from the report
  • Open management

    Staff and relatives said the management team was approachable and honest. Audits, meetings and links with other organisations were used to support improvement.

    “The management team in the home promoted a culture that was friendly and welcoming.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you adapt my relative's care if their needs or preferences changed?
  2. 02How would you support my relative with their medicines, including medicines prescribed to be taken when needed?
  3. 03How would you meet my relative's communication, cultural and dietary needs?
  4. 04What activities would be suitable if my relative did not want to join group activities?
  5. 05How would you involve our family in care planning and keep us informed if something went wrong?

This was an unannounced inspection covering the care, premises and management of the home across all five CQC questions. This explanation was written from the published report of 16 July 2019 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.

An earlier report, explained

What inspectors found, December 2016

Rated Good; inspectors found safe, kind and well-managed care across all five areas.

Inspectors visited on 6 and 7 September 2016. The first visit was unannounced. They spoke with people living at the home, relatives, staff and healthcare professionals. They also observed a meal and medicines being given, checked the building and reviewed care, staff and quality records.

The inspectors found enough staff, safe medicine arrangements, suitable recruitment checks and a clean, well-maintained home. Staff had training and supervision. People's nutrition, health needs and legal safeguards were monitored. Care plans were detailed and regularly reviewed.

People and relatives spoke positively about the care. Inspectors saw kind and respectful interactions, activities and good management. The home was rated Good in every area: safe, effective, caring, responsive and well-led. The previous inspection in June 2013 had also found that the assessed regulations were being met.

What inspectors praised
  • Kind and respectful care

    People and relatives were very positive about staff. Inspectors observed patient, kind interactions and support that respected people's dignity and choices.

    “Staff spoke to people in a manner that was kind and patient.” from the report
  • Safe medicines

    Medicines were administered by trained staff. Inspectors observed a medicines round and found the records had been completed correctly.

    “We observed the lunchtime administration of medicine, which was carried out safely by a registered nurse.” from the report
  • Good care planning

    Care plans included people's preferences and risks. They were reviewed monthly so staff had current information about people's needs.

    “Support plans had been devised using this information and we saw that these were reviewed monthly.” from the report
  • Supportive activities

    People could take part in activities such as crafts, exercises, games and reminiscence. Birthdays and other special occasions were also celebrated.

    “The home employed an activities coordinator who worked five days a week and supported people with a variety of activities, such as crafts, armchair exercises, board games and reminiscence.” from the report
  • Clean and maintained home

    The building and communal areas were clean and well maintained. Safety and equipment checks were up to date.

    “We looked around all areas of the home and saw the bedrooms, toilets and bathrooms, communal areas and kitchen were clean and free from unpleasant odours.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How many staff, including registered nurses, are on duty for each shift now?
  2. 02How are care plans and risk assessments reviewed when a person's needs change?
  3. 03What activities are available now, and how are people supported to choose activities that suit them?
  4. 04If a person may lack capacity, how are best-interest decisions made and any Deprivation of Liberty Safeguards authorisations reviewed?
  5. 05How are medicines checked and monitored to prevent errors?

This was an unannounced inspection of the overall service, covering all five CQC questions and giving ratings for each one. This explanation was written from the published report of 21 December 2016 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.

The story over the years

Every inspection of Coppice Nursing Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. July 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Coppice Nursing Home →

  2. December 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Coppice Nursing Home →

  3. April 2014

    Registered with the Care Quality Commission on 10 April 2014.

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.

Next steps

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