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Inspection Summary


Overall summary & rating

Good

Updated 24 April 2019

About the service:

Reevey Gate Cottage provides personal and nursing care to people who require end of life care in their own homes. At the time of the inspection there was one person using the service.

People’s experience of using this service:

• People received safe and effective care which enabled them to live in their own homes.

• People’s relatives praised the care staff and spoke positively about the care their family member received. They told us staff were both professional and caring. Relatives also commented that staff provided them with emotional support and advice when supporting people who required end of life care and support.

• The care people received was flexible and personalised to their needs. They had been fully involved in their initial assessment and decisions about their care.

• Relatives felt involved in the care of their loved ones and spoke positively about the communication from the service and the relationships they had with staff.

• Staff were responsive to changes in people’s needs and worked closely with other health care professionals when further support or advice was required. Health care professionals commented on the caring manner and professionalism of staff.

• Staff were trained and supported to carry out their role. They had received additional training in subjects relating to good end of life care practices. Staff meetings enabled staff to reflect on their practices, share information and keep themselves informed.

• Relatives were confident that their views or concerns would be listened to and acted on.

• The registered manager and care coordinators knew people well and had a good understanding of the quality of service provided.

• However improvement was needed in the recording of the monitoring actions they undertook to ensure the quality of the service was being sustained and that regulatory requirements were met. This would assist the registered manager to have an audit trail of their monitoring of the service and the actions taken to address shortfalls.

• The registered manager took prompt action to review recording of their monitoring systems; more time was needed to ensure records relating to the management of the service would always be available.

Rating at last inspection: Good (Last report was published on 7 September 2016).

Why we inspected: We inspected this service as part of our ongoing Adult Social Care inspection programme. This was a planned inspection based on the previous Good rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 24 April 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 24 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 24 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 24 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 24 April 2019

The service was not always well-led

Details are in our Well-Led findings below.