CQC report explained · a nursing home
What the CQC found at The Coach House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found systems to protect people from abuse and harm, enough staff, suitable recruitment checks and safe medicines administration. Medicines policies were out of date and needed updating.
- Effective?
- Good
- Care plans and assessments covered people's physical, emotional and social needs. Staff had relevant training, people received healthy food and drinks, and they had access to health professionals.
- Caring?
- Good
- People and relatives described staff as kind and caring. Inspectors saw staff respecting privacy, dignity, individuality and people's everyday choices.
- Responsive?
- Good
- Care was personalised and reviewed. People could choose activities, keep in touch with important people and raise concerns through a complaints process.
- Well-led?
- Good
- Inspectors found clear management arrangements, supportive teamwork and quality checks. The provider sought feedback and used reviews to identify and address shortfalls.
What inspectors found, February 2018
The Coach House Nursing Home was rated Good; inspectors found safe, kind and personalised care, but medicines policies were out of date.
This was a comprehensive inspection. One visit was unannounced on 11 December 2017 and a second visit was announced on 14 December 2017. Inspectors spoke with people living in the home, relatives, staff and health professionals. They reviewed care plans, medicines records, staff recruitment files, rotas, complaints and safety checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines administration, suitable recruitment checks and care that reflected people's needs and choices. People were treated with kindness and dignity, supported to stay healthy and offered activities and opportunities to remain independent.
A whistleblower had raised concerns about how a staff member spoke to people and about moving and handling. Inspectors found that the management had taken these concerns seriously, carried out extra checks and reassessed staff competencies. They also noted that medicines policies were out of date, and the registered manager agreed to update them.
Safe staffing
Inspectors found staffing levels were sufficient and based on the needs of the people living in the home.
“Staffing levels were based on people's needs and the amount of time required to support them.” from the report
Kind and respectful care
People were treated with kindness, dignity and respect. Inspectors saw staff respond gently when someone became distressed.
“We observed positive relationships and interactions between people and staff.” from the report
Personalised support
Care plans recorded people's preferences, interests and needs. Staff knew people well and supported them to make choices.
“People received personalised care that was planned with them and responsive to their individual needs.” from the report
Strong management checks
The owner and registered manager monitored quality and safety, sought feedback and recorded actions to address shortfalls.
“The owner and the registered manager analysed information about the quality and safety of the service.” from the report
Medicines policies needed updating
needs fixingInspectors found that the policies covering medicines arrangements were out of date. The registered manager agreed to update them to reflect current best practice guidance.
“Policies in relation to medicines arrangements were out of date.” from the report
- 01Have the medicines policies been updated since the inspection, and how do you make sure staff follow the current guidance?
- 02How are staffing levels decided for the needs of the people living here, including at busy times?
- 03How do you check that staff remain competent in moving and handling people safely?
- 04What activities are available for someone with my relative's interests, and how do you respect their choice not to take part?
- 05How would you support my relative and our family if they needed end-of-life care?
This was a comprehensive inspection covering all five CQC questions, with the premises and care provided both assessed. This explanation was written from the published report of 6 February 2018 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 The Coach House Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Coach House Nursing Home →
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 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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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.