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Cotteridge House Requires improvement

Reports


Inspection carried out on 31 May 2019

During a routine inspection

About the service

Cotteridge House is a residential care home providing personal care and accommodation to 11 people aged 65 and over at the time of the inspection. The care home accommodates 11 people in one adapted building.

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

People's care plans were limited in the information they provided. Risk assessments were in place but did not contain enough information to mitigate risk. Medicine processes were not always safe. People told us they felt safe and staff knew people well.

Staff received training and had been provided with an induction and felt able to approach the registered manager with any concerns. People were supported to maintain their health.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff treated people with dignity and respect. We observed positive interactions between staff and people. People told us staff were kind and caring.

The provider had a complaints procedure but there was not an easy read version available. People felt able to go to staff who would listen to them. People participated in activities and community involvement was encouraged.

Quality monitoring systems included audits on medicine, care plans and risk assessments. These systems and processes did not demonstrate safety was effectively managed. Professional advice was not always sought in relation to health needs. Information was not always shared with external agencies in relation to safeguarding.

Rating at last inspection

The last rating for this service was good. (report published 5 January 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to consent to care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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

Inspection carried out on 24 November 2016

During a routine inspection

We inspected this home on 24 November 2016. The home was last inspected in October 2014 and was meeting all the regulations and needs of people. The home is registered to provide personal care and accommodation for up to 11 older people. At the time of our inspection 11 people were living at the home. We observed how care was provided to people and whether people were happy living at the home.

There was a registered manager in post who was present throughout the inspection. 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 and their relatives told us that they felt safe with the staff who supported them. Staff were aware of the need to keep people safe and understood their responsibilities to report allegations or suspicions of poor practice. Assessments had been undertaken to identify any potential risks to people and guidance was available for staff to follow to minimise those risks. Moving and handling transfers were carried out in a safe manner. Medicines were being given as prescribed and stored safely.

Staff were provided with training to keep their knowledge and skills current. Staff told us that they had received an induction when they commenced working at the home, and safe recruitment practices were in place. People were provided with a good choice of food and were supported to access relevant healthcare professionals when needed.

People were cared for by staff who knew them well and who they described as kind and compassionate. People expressed how they wanted their care to be delivered. Staff did not have sufficient information to apply the principles of the Mental Capacity Act in all instances. People told us that they were treated with dignity and respect, but we could not be sure that people had their privacy fully respected.

People and their relatives had been involved in the development of their care plans. People were supported to participate in some social activities. People told us that they felt enabled to raise concerns and complaints and were confident that these would be investigated and acted upon.

People, their relatives and staff described the home as well-led and felt confident in the registered manager. People told us that they were asked their views about the care and support they received. There were systems in place to monitor and improve the quality and safety of the service provided.

Inspection carried out on 7th October 2014

During a routine inspection

This inspection took place on 7 October 2014 and was unannounced. At the last inspection in November 2013 the provider was meeting the regulations we looked at.

Cotteridge House provides accommodation with personal care for up to 11 older adults some of who are living with dementia. At the time of our inspection 11 people were using the service. All the people we spoke to at the home, relatives and health care professionals who visited the service spoke positively about the care provided, manager and staff. We found there was a registered manager at this location. 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 and associated Regulations about how the service is run.

People who lived in the home, their relatives and health professionals who visited told us they felt that people at the home were safe. We saw there were systems and processes in place to protect people from the risk of harm which staff knew about and adhered to. During our visit we found staff were caring and kept asking people if they needed anything. Staff took time to sit with people and talk with them and we saw staff speak affectionately to people when they required reassurance. People who lived at the home and their relatives told us that staff were kind to them and we saw that people were treated with dignity and respect because staff supported people in line with their preferences.

Staff received appropriate training and were knowledgeable about the needs of people living in the home and provided effective care and support that met people’s individual needs. Staff worked flexibly to ensure there were enough staff on duty to meet people’s needs and enable people to pursue their hobbies and interests which they liked.

People were able to make choices about what they did and what they ate. People were supported to express their views and staff were able to explain how people liked to be supported.

Management systems were well established. The manager monitored and learnt from incidents and concerns.

Inspection carried out on 19 November 2013

During a routine inspection

On the day of our visit we spoke with seven people who used the service and a relative of a person to find out their views about the service they received. All of the people we spoke with told us that they enjoyed living at the home. One person told us, �I like it here.� We also spoke to the registered manager, cook and four care staff. We looked at records and spoke to two community nurses who were visiting the service.

People told us and we saw that staff were polite, respected people's dignity and spoke to them as adults.

People experienced care, treatment and support that met their needs and protected their rights. There was a range of activities however several people said they would like to go out more. A person who used the service told us, �The staff are very good but I wish I went out more�.

People received sufficient quantities of food and drink to meet their needs and were supported to make choices about what they ate and drank from the menu.

The provider had robust recruitment procedures in place to ensure that people employed at the service were of good character and had the necessary skills, qualifications and knowledge to meet the needs of the people who used the service.

There were good arrangements for making sure that standards of care and support were monitored and improved, where necessary. We saw that the manager supported the people who used the service and their relatives to comment on the quality of care people received.

Inspection carried out on 25 January 2013

During a routine inspection

There were ten people using the service at the time of our inspection. We spoke with all of these people and the staff that were supporting them. We also spoke with a relative of a person using the service.

People told us that they were happy with how their care and support needs were being met. They told us that staff were available at the times they needed them and that they supported them in a respectful manner. People told us that staff offered them choices of how and where they wanted to spend their time. A person using the service told us �I am looked after really well here. Staff can�t do enough for me.�

People told us about the quality and choice of food and drink available. They told us that they were satisfied about the choice and quality of meals and that food and drink was readily available to them. A person using the service told us �Staff always let us know what it is for lunch. There are always alternatives if we don�t like the meals they have prepared.�

People told us that they felt safe living at the home and that they would speak to the staff if they had any concerns. A person using the service told us �If I had any complaints I would be happy to talk to the manager or staff.�

During our inspection, we asked local authority staff involved in monitoring the home about the quality of service provided. They told us that they did not have any concerns about the service provided.

Inspection carried out on 8 February 2012

During an inspection looking at part of the service

We carried out this review to check on the care and welfare of people living at the home. We had not visited the home for some time, therefore we had limited information on the quality and safety of the service being provided. There were eleven people living at the home at the time of our visit.

People told us that they were happy living at the home and that their care needs were being met. They told us that they received care and support in the way they preferred and in a respectful and timely manner. People told us that they were supported by care workers who had a good understanding of their care and support needs. One person that was living at the home told us �The staff are very kind to me�.

A relative of a person that was living at the home said �I wanted my mother to come here because the home has got such a good reputation. I know that my mother is well looked after here. I visit twice a week and the carers are very caring and consistent�.

People told us that they were happy with the food provided at the home. They told us �The food is very good. If there is something I don�t like they get me something else� and �I enjoyed my lunch very much, thank you�.

People told us that they are encouraged to pursue any hobbies or interests that they may have. People told us that they are supported to maintain relationships that are important to them. One person that was living at the home told us �We have things like keep fit and bingo. I like to go back to my bedroom and have a lie down after lunch�.

People told us that they felt confident to raise any concerns that they may have about the service and that actions are taken in response to these. People told us that they were happy with the cleanliness of the home and that they were comfortable living at the home.

Reports under our old system of regulation (including those from before CQC was created)