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Inspection Summary


Overall summary & rating

Good

Updated 29 November 2018

Cottingham Hall is situated in the north of Hull and is close to local amenities. The home is registered to provide personal care and accommodation for up to 30 older people, including those who may be living with dementia. Most of the bedrooms are for single occupancy and are located over two floors. There are two communal sitting rooms with dining space at one end. There is a large garden to the rear of the property and parking at the front.

At our last inspection, we rated the service Good. At this inspection, we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. At this inspection we found the service remained Good.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team included a dental inspector who looked in detail at how well the service supported people with their oral health. This includes support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in 2019.

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The service had a registered manager in post. 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 told us they felt safe and staff knew how to keep them safe from harm and abuse. Staff completed safeguarding training and could describe the action they would take if they had concerns. Staff completed assessments to help minimise the risks people had. There was sufficient staff deployed to meet people’s needs and they were recruited in a safe way. Medicines were managed safely and people received them as prescribed.

People’s health and nutritional needs were met. Staff ensured people had access, in a timely way, to a range of health care professionals for advice and treatment when required. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff received training, support and supervision to enable them to feel skilled and confident when supporting people. The environment had been adjusted to take account of people’s differing needs. This included prominent signage and colour-contrasting equipment to increase visibility for people living with dementia.

People told us staff had a kind and caring approach. We observed this throughout the inspection and it was confirmed in discussions with relatives and professional visitors to the service. Staff provided people with explanations and information in accessible formats such as pictorial signs and symbols. The cook was in the process of taking photographs of all the meals they prepared so these could be used instead of a written menu board. Staff maintained confidentiality and personal information was held securely.

People had assessments of their needs and these were used to develop plans of care to guide staff in how to meet them. People told us staff were responsive to their needs and listened to them if they had concerns or complaints. People could remain at the service for end of life care. Staff involved health professionals and relatives to ensure people’s needs were met. There were activities for people to participate in.

The service was well-led. There was a quality monitoring system that consisted of audits, questionnaires and meetings to ensure people could express their views. The registered manager acted to address any iden

Inspection areas

Safe

Good

Updated 29 November 2018

The service remains Good

Effective

Good

Updated 29 November 2018

The service remains Good

Caring

Good

Updated 29 November 2018

The service remains Good

Responsive

Good

Updated 29 November 2018

The service remains Good

Well-led

Good

Updated 29 November 2018

The service is well-led and has improved from Requires Improvement to Good since the last inspection.

The registered manager and senior management team were accessible and staff described them as supportive. There was a culture of openness where staff could raise concerns with management.

The provider had a quality monitoring system in place. Audits and checks were carried out and surveys completed to ensure people had a voice about how the service was managed.