CQC report explained · a nursing home
What the CQC found at The Coach House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were safe, risks were assessed and reviewed, staffing levels were sufficient, medicines were managed safely and infection control procedures were followed.
- Effective?
- Good
- This key question was not inspected during this focused inspection. Its previous rating was used to calculate the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused inspection. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused inspection. The report says feedback from people and families was not always responded to promptly or effectively.
- Well-led?
- Good
- Inspectors found consistent audits, action plans for improvements, clear staff responsibilities and a positive culture. Staff said they felt supported and able to raise concerns.
What inspectors found, April 2023
Rated Good; inspectors found people were safe and the home was well-led, but this was a focused inspection after concerns about care-plan support.
Inspectors made an unannounced visit on 4 April 2023. They spoke with people, relatives, staff and managers, reviewed six care records, and checked care, medicines, recruitment and management records.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough staff, safe medicines management, suitable risk assessments, infection control procedures and systems for learning when things went wrong.
This was a focused inspection of Safe and Well-led only. The other areas were not inspected and their previous ratings were used when calculating the overall rating. The previous overall rating was also Good.
Safe care and risk management
People's risks were assessed, monitored and reviewed. Staff had detailed guidance for risks such as epilepsy, sore skin and special diets.
“Individual risks to people were assessed, monitored and reviewed.” from the report
Enough staff
Inspectors saw staff respond promptly to requests and call bells. Recruitment checks were completed before staff started work.
“There were enough staff available for people and they did not have to wait for support.” from the report
Medicines managed safely
Medicines were stored and given safely. Staff had training and regular checks of their competence.
“Medicines were managed and stored in a safe way.” from the report
Learning and oversight
The home used audits and action plans to monitor care and make improvements. Lessons from incidents were discussed with staff.
“Lessons had been learnt when things went wrong.” from the report
People felt positive
People and relatives spoke positively about the home and the care they received.
“People and relatives spoke positively about the home and the care they received.” from the report
Family feedback was not always acted on promptly
minorThe manager recognised that responses to feedback from people and families were not always responsive. Coffee mornings were being introduced to gather feedback.
“The registered manager identified the response to feedback from people and families was not always responsive.” from the report
Inspection followed a care-plan concern
needs fixingThe inspection was triggered by concerns that someone had not received support in line with their care plan. Inspectors did not report a breach, but families should ask how care plans are checked in practice.
“We received concerns in relation to an incident in the home where someone did not receive support in line with their care plan.” from the report
- 01How do you check that each person's care plan is followed in practice, especially after the incident that led to this inspection?
- 02How are concerns and feedback from people and families recorded, answered and followed up?
- 03Have the planned coffee mornings started, and what changes have been made as a result of family feedback?
- 04How do you make sure risk assessments and care plans are updated after an incident or a change in someone's needs?
- 05What were the latest findings from audits of medicines, care planning, infection control and safeguarding?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection and were used to calculate the overall rating. This explanation was written from the published report of 14 April 2023 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, July 2019
Rated Good; inspectors found safe, kind and personalised care, with a medicines fridge temperature concern dealt with promptly.
This was an unannounced, planned inspection on 26 June 2019. Inspectors observed care, spoke with people, relatives were not specifically mentioned, staff and health professionals, and checked care, staff and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, kind care, personalised support and effective checks on quality.
The Safe rating improved from Requires Improvement at the previous inspection to Good. The other four areas remained Good, and the overall rating remained Good. Inspectors found one medicines fridge temperature concern during the visit, which the manager acted on promptly.
Enough staff
Inspectors found enough staff available and people did not have to wait for support.
“There are enough staff. If I am in my room and need them I will press the buzzer and one of the staff will come.” from the report
Kind and respectful care
Staff were seen responding with reassurance and treating people with privacy, dignity and respect.
“We observed staff knocking on people's doors and offering support to people in a discreet way.” from the report
Personalised support
Staff knew people's needs and preferences, and care plans were detailed and updated regularly.
“People had care plans which were personalised, detailed and regularly updated.” from the report
Activities and choice
People were offered choices about their day and could take part in activities they enjoyed.
“People had the opportunity to participate in activities they enjoyed.” from the report
Quality improvement
The home used audits, feedback and incident information to identify and act on improvements.
“We saw when areas of improvement had been identified the necessary action had been taken.” from the report
Inspectors raised no specific concerns in this report.
- 01How are medicines fridge temperatures checked and recorded now?
- 02How do you make sure staffing levels remain enough when people need support?
- 03How are people's care plans reviewed when their needs or preferences change?
- 04How do people and relatives give feedback, and what changes have been made as a result?
- 05What training do staff receive for supporting people with mental health or dementia needs?
This was an unannounced planned inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 10 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.
Every inspection of The Coach House
3 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Goodstayed GoodSafe: GoodWell-led: Good
- August 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015
Registered with the Care Quality Commission on 5 March 2015.
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 Wolverhampton
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Most charge £950 to £1,230 a week. 89 can care for a couple. 9 years' experience on average.
“Knowing Mum was in Corina's care made an enormous difference to us and we knew she was in safe hands.”
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