Coleridge House is both a residential home and domiciliary care provider registered at the same address.

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.

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