CQC report explained · a residential care home
What the CQC found at The Olde Coach House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Medicines were not always managed safely. Used PPE was not always disposed of correctly, although risks were identified, people said they felt safe and there were enough staff.
- Effective?
- Good
- This question was not rated during this focused inspection.
- Caring?
- Good
- This question was not rated during this focused inspection, although people and relatives spoke positively about staff.
- Responsive?
- Good
- This question was not rated during this focused inspection. Relatives said they could visit when they wished, but the provider asked them to avoid mealtimes and evenings.
- Well-led?
- Requires improvement
- Governance systems did not reliably identify problems with medicines, care plans, recruitment records or accident and safeguarding records. The provider was in breach of Regulation 17 on good governance.
What inspectors found, January 2023
Rated Requires Improvement; inspectors found kind, person-centred care but weaknesses in medicines, records, infection control and oversight.
This was an unannounced inspection that began as a targeted follow-up to concerns about visits. It was widened to a focused inspection of Safe and Well-led. The visits took place on 18 November 2022 and 05 December 2022.
The home had enough staff and people said they felt safe and were happy with the support. Staff were described as kind and person-centred. However, medicines were not always managed safely, used PPE was not always disposed of correctly and oxygen cylinders were not stored correctly.
The home’s systems did not reliably identify or correct problems. Care plans contained inconsistencies, recruitment records were incomplete and some safeguarding concerns were not reported to CQC. The overall rating fell from Good at the previous inspection in 2017 to Requires Improvement.
Enough staff
Inspectors found there were enough staff to meet people's needs. People and relatives also described staff positively.
“There were enough staff to meet people's needs.” from the report
People felt safe
People said they felt safe. Staff understood safeguarding and how to report abuse or poor practice.
“People were safe and received person centred care. People we spoke with were happy at the service.” from the report
Safeguarding knowledge
Staff knew how to identify abuse or poor practice and how to report it. Safeguarding referrals were made to the local authority when appropriate.
“Staff knew how to identify abuse or poor practice and how to report it.” from the report
Positive staff culture
Staff said they felt supported and able to raise concerns. The report described measures intended to support staff wellbeing and morale.
“These little things make you feel valued and recognised.” from the report
Medicines management
seriousMedicines were not always managed safely. Inspectors found problems with a regular dose of a when-required medicine, storage of oxygen cylinders and recording opening dates.
“Medicines were not always managed safely.” from the report
Weak oversight and records
seriousAudits did not identify important problems. Care plans were sometimes inconsistent, and recruitment, safeguarding and accident records were incomplete.
“Governance systems were in place but not always effective.” from the report
Infection control
needs fixingUsed PPE was not always disposed of correctly, which increased the risk of infection. The manager addressed this with staff during the inspection.
“Staff did not always dispose of used PPE correctly.” from the report
Safeguarding notifications
seriousThe provider did not tell CQC about safeguarding concerns that had been referred to the local authority. Inspectors recommended reviewing the policy and practice for reporting notifiable events.
“The provider had failed to notify the CQC about safeguarding concerns they had raised with the local authority.” from the report
Learning from incidents
needs fixingThe manager did not always record follow-up actions or lessons learned after accidents and incidents. Inspectors had raised this at the previous inspection too.
“The registered manager did not always record follow up actions and lessons learnt.” from the report
- 01What has been changed to make sure medicines are prescribed, stored, recorded and audited safely?
- 02How do you now check that care plans and risk assessments give staff consistent information?
- 03What checks are in place to ensure recruitment records, employment histories and references are complete before staff start work?
- 04How do you record and review accidents, incidents and safeguarding referrals, including when CQC must be notified?
- 05What are the current arrangements for relatives who want to visit during mealtimes or evenings?
This inspection began as a targeted follow-up and became a focused inspection of Safe and Well-led; the report did not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 12 January 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, March 2021
Inspected but not rated; inspectors found strong infection control and visiting arrangements, with waste disposal identified for development.
This was an announced, targeted inspection on 25 February 2021. Inspectors looked at how the home prevented and controlled coronavirus infections.
Inspectors were assured that the home managed visiting, testing, personal protective equipment, social distancing, admissions, cleaning and possible outbreaks safely. People could keep in touch with family and friends through calls and window visits.
The home was clean and tidy. Inspectors signposted the provider to resources to develop its approach to waste disposal.
This was not a full inspection of the home. The service was inspected but not rated, so the report does not give an overall quality rating.
Safe visiting
The home used testing, temperature checks and PPE for visitors. This followed government guidance at the time.
“The provider had invested in staff and technology, to ensure safe visiting processes which followed government guidance were in place.” from the report
Family contact
People were supported to stay in touch with relatives and friends through phone calls, video calls and window visits.
“People were supported to maintain important relationships with their families and friends.” from the report
PPE and testing
Staff were trained to use PPE, and people using the service and staff were regularly tested for coronavirus.
“Staff were trained in the use of personal protective equipment (PPE) and used PPE appropriately.” from the report
Clean environment
The home was clean and tidy, with extra cleaning of frequently touched areas.
“Extra cleaning was regularly completed and focused on frequently touched areas to help reduce the risk of infection.” from the report
Waste disposal
minorInspectors identified waste disposal as an area for development and signposted the provider to relevant resources.
“We have also signposted the provider to resources to develop their approach around waste disposal.” from the report
- 01What changes have you made to waste disposal since the inspection?
- 02What are your current arrangements for testing visitors, staff and people living in the home?
- 03How do you support residents to keep in touch with family and friends?
- 04How do you manage isolation when someone is newly admitted or has coronavirus symptoms or a positive test?
- 05How do you check that staff are using PPE and washing their hands correctly?
This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; it did not assess the other key questions or provide an overall rating. This explanation was written from the published report of 16 March 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.
Every inspection of The Olde Coach House
3 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.
- January 2023Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2021Inspected but not ratedSafe: Inspected but not rated
- November 2017Goodstayed GoodSafe: Requires improvementWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 December 2010.
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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16 live-in carers within about an hour of East Riding of 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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.