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Inspection Summary


Overall summary & rating

Good

Updated 23 June 2017

This unannounced inspection took place on 3 May 2017. At our last inspection in October 2015 we rated the provider as ‘requires improvement’ overall. The Cottage Nursing Home provides accommodation for up to 33 people who may have nursing needs. At the time of our inspection there were 32 people living at the home.

At the time of our inspection there was a registered manager in place. 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.

People who lived at the home told us they felt safe. The provider’s recruitment system was not extensive enough to ensure staff were recruited safely. Staff understood their responsibilities in keeping people safe and knew how to report any suspected abuse. Staff knew the risks to people’s health and safety and understood the measures in place to keep people safe. People and their relatives told us there were enough staff to meet people’s needs. People told us and we saw people got their medicine when they needed it.

People were supported by staff to meet their needs. Staff sought consent from people before providing care. The registered manager had applied the principles of the Mental Capacity Act 2005 which meant people’s rights were protected. People told us they enjoyed the food at The Cottage. People told us they had access to other healthcare professionals when their health needs changed.

People told us they were supported by kind and considerate staff. We saw and people confirmed they had choices about their care and staff respected the choices they made. People were supported by staff to maintain their independence and staff supported people in a dignified way. We saw people were encouraged to maintain relationships that were important to them.

People and their relatives told us they were involved in their care. People told us and we saw staff understood people’s individual needs and supported people ways they preferred. People had access to activities which they enjoyed. People told us they were confident to raise any complaints but had not had reason to. When people did complain there was a system in place which meant they would be listened to and complaints would be investigated.

People were happy living at The Cottage and told us it was well led. Staff told us they were supported by the registered manager by means of regular supervisions and team meetings. The registered manager was aware of their legal responsibilities. The provider operated a quality assurance system which identified areas where improvements were needed and took action where concerns were highlighted.

Inspection areas

Safe

Requires improvement

Updated 23 June 2017

The service was not always safe.

Although people told us they felt safe the recruitment system in place did not ensure people were recruited safely. Staff knew how to protect people from harm. There were sufficient staff to meet people’s needs. People received their medicine as prescribed.

Effective

Good

Updated 23 June 2017

The service was effective.

People were supported by staff who had been trained to care for them effectively. People’s rights were protected as the registered manager had applied the principles of the Mental Capacity Act 2005. People’s nutritional needs were being met. Staff supported people to access other health professionals when their health needs changed.

Caring

Good

Updated 23 June 2017

The service was caring.

People told us they were supported by kind and considerate staff. People were given choices about the care they received. People’s privacy and dignity was respected by staff. Staff promoted people’s independence. People were supported to maintain relationships that were important to them.

Responsive

Good

Updated 23 June 2017

The service was responsive.

People were involved in their care. People were supported by staff who knew their individual needs. People had access to activities which they enjoyed. The provider had a system in place should people wish to complain.

Well-led

Good

Updated 23 June 2017

The service was well led.

People told us the home was well led. The registered manager sought opinions from people. Staff were supported by the registered manager which led to a positive culture within the home. The registered manager operated a quality assurance system which identified where improvements needed to be made.