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CQC report explained · a residential care home

What the CQC found at Coral House

Goodpublished 17 October 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infection risks. They found effective use of protective equipment, cleaning, testing, social distancing and safe admission procedures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, May 2021

Inspected but not rated; inspectors found strong infection prevention and control arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection on 22 April 2021. It looked only at infection prevention and control measures, rather than giving a full assessment of the home.

Inspectors found clear visitor checks, safe admission arrangements, effective use of protective equipment, regular cleaning and infection control audits. They were assured that the home was managing infection risks, testing and social distancing.

The home was rated inspected but not rated overall and for Safe. The report does not give ratings for Effective, Caring, Responsive or Well-led.

What inspectors praised
  • Infection prevention

    The home had clear procedures for visitors, including health screening, temperature checks and protective equipment. Staff had received relevant infection control training.

    “There was a clear procedure for welcoming visitors to the home.” from the report
  • Clean environment

    Inspectors found the home clean and free from clutter. Frequently touched areas were cleaned often and cleaning schedules were in place.

    “The home was visibly clean, free from clutter and robust cleaning schedules were in place.” from the report
  • Safe admissions

    New admissions required a recent negative COVID-19 test and a ten-day isolation period.

    “There were strict guidelines in place for accepting new admissions into the home.” from the report
  • Keeping families connected

    Relatives had several ways to stay in contact with people living at the home, including visits and video calls.

    “Relatives had a number of ways to stay in contact with their loved one's including face to face visits and video calls.” 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. 01What infection prevention and control arrangements are in place now for visitors?
  2. 02How are new residents tested and supported during any required isolation period?
  3. 03How often are infection prevention and control audits carried out, and what changes have resulted from them?
  4. 04How can relatives visit or keep in contact if face-to-face visits are restricted?
  5. 05When was the home's infection prevention and control policy last updated?

This was a targeted inspection of infection prevention and control measures only; it did not provide ratings for the other key questions. This explanation was written from the published report of 26 May 2021 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, October 2019

Rated Good; inspectors found safe, kind and personalised care, with some medicine recording errors and cleaning issues.

This was an unannounced inspection on 24 and 26 September 2019. One inspector spoke with people, staff, relatives and professionals. They reviewed care records, medicine records, staff files, policies and quality checks, and observed care.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and happy. Inspectors found that staff understood people's needs, supported independence and offered choice.

The inspection also found several medicine recording errors after a change in pharmacy packaging. No one was harmed. The porch at the main entrance was dirty and had cobwebs. End of life wishes had started to be discussed, but further conversations were planned.

The overall rating improved from Requires Improvement at the previous inspection, published on 18 September 2018. Good means the inspectors judged that the home was performing well and meeting the relevant requirements at the time of this inspection.

What inspectors praised
  • Kind and respectful staff

    People, relatives and professionals consistently described staff as kind, caring and respectful. Inspectors observed staff protecting privacy and speaking with people appropriately.

    “People, professionals and their families described the staff as caring, kind and friendly and the atmosphere of the home as relaxed and engaging.” from the report
  • Personalised activities

    Care plans reflected people's likes, dislikes and changing needs. People were supported to access the community and take part in activities linked to their interests.

    “People were supported to access the community and participate in activities which matched their hobbies and interests.” from the report
  • Improved leadership

    The report says leadership and teamwork had improved since the previous inspection. A new deputy manager was seen as a positive addition to the management team.

    “A new deputy manager had been recruited since the previous inspection. Leadership was visible and promoted good teamwork.” from the report
What inspectors were concerned about
  • Medicine recording errors

    needs fixing

    Inspectors found several recording errors after medicines changed from blister packs to original packaging. No one was harmed, but the management was taking steps to prevent the errors happening again.

    “There had been several recording errors by staff since the pharmacy changes from blister packs to original packaging.” from the report
  • Dirty entrance porch

    minor

    The main porch at Coral 1 was dirty and had several cobwebs. The manager said it would be cleaned.

    “The porch is full of cobwebs which doesn't set a good first impression” from the report
  • End of life planning still developing

    minor

    Some discussions and funeral plans were in place, but further discussions with people and families were still planned.

    “People's end of life wishes had started to be explored by the service.” from the report
Questions to ask them, based on this report
  1. 01What changes were made after the medicine recording errors, and how do you check that records are now accurate?
  2. 02Have there been any further medicine recording errors since this inspection?
  3. 03What is the current cleaning routine for the entrance porch and other outside areas?
  4. 04Have end of life wishes now been discussed with each person and, where appropriate, their family?
  5. 05How do you support each person to build independence and take part in activities they enjoy?

This was an unannounced inspection that assessed all five CQC key questions and looked at both the accommodation and the care provided. This explanation was written from the published report of 17 October 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.

The story over the years

Every inspection of Coral House

6 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. May 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Coral House →

  2. October 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Coral House →

  3. September 2018Requires improvementup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. January 2018Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  5. July 2017Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateCaring: GoodResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. July 2017Inadequatedown from Requires improvement
    Responsive: Good

    Read this report on cqc.org.uk

  7. February 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  8. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2011

    Registered with the Care Quality Commission on 24 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.

Next steps

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