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The Cottage Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 8 January 2020

About the service

The Cottage Nursing Home is a residential care home providing personal and nursing care for up to 33 people aged 65 and over. The accommodation is provided in a single building, arranged over two floors, with communal facilities including a lounge and dining room, activities room and secure garden. At the time of our inspection, 32 people were using the service, some of whom were living with dementia.

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

The provider and registered manager monitored the quality and safety of the service. However, some quality audits were not sufficiently robust, and improvements were needed to ensure they were consistently effective in identifying and rectifying any shortfalls. We have made a recommendation to improve the audits of medicines and care plans.

Staff knew how to protect people from the risk of abuse. Risks associated with people's care were identified and managed safely. People received their medicines as prescribed. People were supported to access other professionals to maintain good health.

There were sufficient, safely recruited staff to keep people safe and promote their wellbeing. Staff received training and ongoing support to meet people’s individual needs. People were supported to enjoy their meals and maintain a healthy diet.

Staff were kind and caring, treated people with respect and promoted their privacy and dignity at all times. People's diversity was recognised and promoted by the staff and systems were in place to meet people's communication needs. People were supported to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s care and support plans reflected their needs and preferences and were kept under review. People had opportunities to take part in activities and social events and were supported to follow their hobbies and spiritual beliefs. Staff were proactive and ensured people received timely and dignified care at the end of their life.

People benefitted from a service that had an open and inclusive culture. People and their relatives felt confident any concerns and complaints they raised would be acted on. There were systems in place to capture people’s views on how the service could be improved and these were acted on. Staff enjoyed working at the service and felt supported and valued by the registered manager.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 23 June 2017).

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.

Inspection areas

Safe

Good

Updated 8 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 8 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 January 2020

The service was not always well-led.

Details are in our well-led findings below.