We carried out a review of the data available to us about Coleridge House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Coleridge House, you can give feedback on this service.
About the service
Coleridge House provides a residential care home for up to two people in one adapted building. At the time of the inspection one person was living there.
The residential care home has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
Coleridge House also provides a domiciliary care service that supports people in their own homes. Not everyone who used the domiciliary care service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. Nine people were receiving personal care support at the time of the inspection.
People’s experience of using this service and what we found
Improvements had been made to the infection control measures in place at the residential home. We saw good standards of hygiene were in place and monitored to ensure these were maintained.
The systems in place to assess, monitor and improve the quality of care had improved. We saw health and safety checks were regularly completed to ensure risks to people’s safety were minimised. The systems in place to monitor the quality of the service were used effectively to enable the provider to drive improvement.
People were supported by staff that understood their responsibilities to safeguard them from abuse and report any concerns. Where people needed support to take their prescribed medicines, this was done in a safe way. Checks were undertaken before staff commenced employment, to protect people that used the service.
People were supported to do what they wanted to do, as enough trained staff were available to support them. People’s preferences and dietary needs were met. Healthcare services were accessible to people with staff support as needed, and people received coordinated support, to ensure their preferences and needs were met.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; People were supported to take reasonable risks which enabled them with opportunities to lead a full life. People spent their day as they preferred and were supported to take part in social activities of their choice to enhance their well-being.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff understood the support people needed to make decisions when they were unable to make specific decisions independently. Mental capacity assessments and best interest decisions were undertaken where people needed support to make specific decisions. This demonstrated that people’s rights were upheld, and they were supported in the least restrictive way possible.
People and their representatives were encouraged to give their views about the service. This included raising any concerns they had. People and their representatives were involved in their care to enable them to receive support in their preferred way.
Staff felt supported by the management team and their performance was monitored to ensure any development and training needs were met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update). The last rating for this service was requires improvement (published 1 February 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Coleridge House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Coleridge House accommodates up to 2 people in one adapted building.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Coleridge House is in a residential area of Derby and is registered to provide accommodation for persons who require nursing or personal care. They provide care for people with Learning disabilities or autistic spectrum disorder, Younger adults, Older people, Physical Disability or Sensory Impairment and can accommodate up to two people at the home. When we visited there was one person living there.
This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team included a dental inspector who looked in detail at how well the service supported people with their oral health. This includes support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in 2019.
Residential Home
The inspection was a first rating inspection following a change in registration.
The inspection took place on 13 November 2018 and was unannounced. Several telephone calls were made to staff but none were answered. Coleridge House provides residential care for up to 2 people with a learning disability and/or mental health disorder and a range of complex needs. At the time of our inspection there was one person in residence.
A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We found there was a lack of supervision by the provider to check quality monitoring had been carried out effectively. There was an absence of quality monitoring systems to ensure people were cared for safely. There were no adequate infection control checks in place, and no clarity about which colour mops and buckets should be used in each area of the home in order to reduce the risk of cross infection. The kitchen was not constructed to ensure work surfaces and floors could be disinfected which resulted in a heightened potential for cross infection and cross contamination of infection in the home.
Systems that were in place were not reviewed by the registered manager to ensure people received a quality service. Improvements are required in assessing risk to people both in the home and using the enclosed garden.
The provider did not have effective systems in place to assess, monitor and improve the quality of care. There was no plan of refurbishment of equipment or replacement of items such as the kitchen floor covering. Health and safety checks were not regularly completed to ensure risks to people’s safety were minimised. The garden areas were overgrown and so were not accessible or safe.
The care plan provided information for staff that identified people’s support needs and associated risks. There was enough staff to respond to person’s health, social and cultural needs both in and out of the home. Staff recruitment procedures were adequate which ensured people were cared for by staff who had been assessed as safe to work with them.
Staffing levels were adequate to ensure safe levels of care were maintained, people’s health and welfare were supported, and people were assisted to take part in activities in and out of the home.
People were supported in line with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The person’s capacity had been assessed and the person had a DoLS in place for the restriction placed on them.
Staff understood the person’s needs, abilities, dietary and cultural requirements. Care was planned to meet individual needs and abilities. Staff made appropriate referrals and sought advice and support from health professionals when this was required.
We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.
Personal care
The inspection was a first rating inspection following a change in registration.
This service has a domiciliary care agency registered at the same location as the residential care home. It provides personal care to people living in their own houses and flats and specialist housing. It provides a service to younger adults and older people.
The inspection took place on 14 November and 4 and 11 December 2018 and was announced. This meant the provider knew we would be carrying out an inspection. Coleridge House provides support to 13 older people.
A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People’s views and experiences about the quality of the service being provided were positive.
People told us they were pleased with the service and the registered manager and staff listened to them, wanted to hear their views, and kept them informed about the service.
Staff ensured people had enough to eat and drink, and staff when they had time were able to do additional tasks. People and their relatives knew how to make complaints about the quality of service they received. The service had not received any complaints. Information about the complaint procedure was included in the information people received along with office and out of hours contact telephone numbers.
People and their relatives said the manager and staff were approachable and they were kept up-to-date with their family member’s progress and any changes or developments at the service.
The service provided safe care. Staff were trained in safeguarding (protecting people from abuse) and knew how to keep people safe. Information about safeguarding and whistleblowing was included in the staff handbook.
Staff provided people with the care and support they wanted and encouraged them and their relatives to be an active part of the care planning process. Staff had been trained to assist people to take their medicines safely and in the way they wanted them. People were treated with dignity and respect.