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CQC acts to protect the safety and welfare of people at Cotswold House Care Home, Cainscross, Stroud

19 December 2012
Cotswold House Care Home
Cotswold House Care Home Limited
  • Media

19 December 2012

The Care Quality Commission has issued a warning to Cotswold House Care Home Limited Trust that it is facing enforcement action unless it makes urgent improvements to standards of care.

In a report which is published this week, CQC inspectors identify a series of concerns.   The home at Cainscross, near Stroud in Gloucestershire, provides residential and nursing care to 48 people, some with a diagnosis of dementia.

Inspectors found that the provider, Cotswold House Care Home Limited Trust, was failing to meet nine out of 16 standards of quality and safety.   Following the inspection in September, CQC has issued five warning notices requiring immediate improvements to meet national regulations.

Care and welfare of people who use services: While people’s needs were assessed and care was planned but this was not consistently reviewed at required intervals. There was insufficient evidence that risks to people were properly managed and that people consistently received the care prescribed in their care plan.

Management of medicines: People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place for the obtaining, recording storage and safe administration of medicines.

Staffing: The provider was not consistently providing enough qualified, skilled, and experienced staff to meet people’s needs. The provider could not demonstrate that staffing levels were regularly reviewed according to the numbers and dependency of people living in the home.

Supporting workers: People were cared for by people who were not adequately supported to deliver care and treatment safely and to an appropriate standard.

Assessing and monitoring the quality of service provision: The provider did not have effective systems to regularly assess and monitor the quality of service that people received.

Ian Biggs, Deputy Director of Operations for the Care Quality Commission in the South said:

"The law says that these are the standards that everyone should be able to expect. Providers have a duty to ensure they are compliant

“Cotswold House Care Home has agreed to stop any further admissions, while they make the necessary improvements.   CQC has continued to monitor the home to ensure that the people living there are protected. 

“Our inspectors will return in the near future and if we find that Cotswold House Care Home Limited is not making the required progress we won’t hesitate to use our legal powers to protect the people who live there."


For further information please contact the CQC press office on 0207 448 9401 or out of hours on 07917 232 143.

Notes to editors

The warning notices find that Cotswold Care Home Limited is in breach of:

  • Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010: Management of medicines.
  • Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010: Care and welfare of people who use services.
  • Regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010: Assessing and monitoring the quality of service provision.
  • Regulation 22 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010: Staffing.
  • Regulation 23 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010: Supporting workers.

If the required improvements are not made, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards.   Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.