Background to this inspection
Updated
3 July 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Care Homes
Coxwold and Priory 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.
The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 11 June 2019 and ended on 14 June 2019.
What we did before the inspection -
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection
During the inspection -
We looked at information sent to us since the last inspection such as notifications about accidents and safeguarding alerts. And sought feedback from partner agencies and professionals. We spoke with one person who used the service, six members of staff and the registered manager.
We reviewed a range of documents. This included three people’s care and medicine records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection -
We spoke with four relatives.
Updated
3 July 2019
About the service
Coxwold and Priory consists of three houses and a bungalow situated in the west of the City of Hull, providing personal care and accommodation for up to six people with a learning disability, physical disability or autism. The service can support up to six people.
The service 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.
People’s experience of using this service and what we found
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; people's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The provider had systems in place to safeguard people from abuse. Staff could recognise and report any safeguarding concerns. Relevant risk assessments had been completed. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to mitigate risks.
Staff had appropriate skills and knowledge to deliver care and support people in a person-centred way. Staff recruitment was safe, and staff understood how to keep people safe.
Care plans had been developed and were regularly reviewed. These contained relevant information about how to meet people's needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People were supplied with the information they needed at the right time, were involved in all aspects of their care and were always asked for their consent before staff undertook support tasks.
The environment was warm, welcoming, clean and free from malodours. People had personalised rooms.
There was a wide range of opportunities for people to engage in activities and follow hobbies and interests.
People were positive about the staff and told us that their privacy and dignity was promoted. Preferences and choices were considered and reflected within records.
People had access to a varied balanced diet. Staff monitored people’s weights and worked with healthcare professionals to make sure people received medical attention when needed.
People were able to see their families as they wanted.
People and staff spoke positively about the registered manager and felt able to raise concerns and were confident these would be addressed. Staff told us they were well supported by the registered manager and management team.
People who used the service, their relatives and staff had the opportunity to feedback about the service. There was a system in place to respond to any concerns.
Checks of safety and quality were made to ensure people were protected. Work to continuously improve was noted and the registered manager was keen to make changes that would impact positively on people's lives.
Rating at last inspection
The last rating for this service was Good (published 10 December 2016).
Why we inspected
This was a planned inspection based on the previous rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk