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Inspection Summary

Overall summary & rating


Updated 1 August 2019

About the service

Sotwell Hill House is a residential care home providing personal and nursing care to 30 people aged 65 and over at the time of the inspection. The service can support up to 36 people with a range of conditions in one adapted building.

People’s experience of using this service and what we found:

Medicines were managed safely. Risks were assessed and there was guidance to ensure risks were managed. There were effective systems in place to ensure good infection control. The manager used a dependency assessment tool to assess the staffing needs of the service. However, some people and staff did not always feel there were enough staff to meet peoples' needs.

There were systems in place to monitor the quality of the service. The registered manager continually looked for ways to improve the service. There were links with the local community and there were plans in place to improve those links. There were systems in place to engage people, relatives and staff. Staff told us they felt listened to, however they did not always feel action was taken to address issues.

People enjoyed the food and dietary needs were met. People were supported to access health and social care professionals when needed. Staff completed training to ensure they had the skills and knowledge to meet peoples’ needs. We have made a recommendation about new staff induction.

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 showed kindness and compassion. People were treated with dignity and were valued as individuals. People were involved in their care which ensured their choices and decisions were respected. Staff promoted people’s independence by encouraging them to do what they could for themselves.

There was a range of activities for people to enjoy and it was clear these had a positive impact on people’s well-being. Care plans were person-centred and valued people as individuals. Care plans included people’s end of life wishes. There was an effective complaints policy in place and people were confident that any concerns would be addressed in a timely manner.

For more details, please see the full report which is on the CQC website at

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.

Follow Up:

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 1 August 2019

The service was not always safe.

Details are in our safe findings below.



Updated 1 August 2019

The service was effective.

Details are in our effective findings below.



Updated 1 August 2019

The service was caring.

Details are in our caring findings below.



Updated 1 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 1 August 2019

The service was well-led.

Details are in our well-led findings below.