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Inspection Summary


Overall summary & rating

Good

Updated 16 March 2019

About the service:

Cote House is a care home providing personal and nursing care for up to 11 people. At the time of our inspection 10 people were living at the service permanently and one person was using the service for respite care. One room at Cote House is used for people to stay on respite care to enable their carer to have a break from their caring role.

People’s experience of using this service:

People received their medicines as prescribed. Improvement was required to make sure the service knew how many medicines were in stock. Also, staff administering medicines needed their competence assessed to make sure their practice was safe.

Checks were being completed to make sure the environment and equipment were safe however, there was conflicting information in the results. This meant action had not always been taken. The registered manager addressed this during our inspection.

People were supported to make their own decisions and were involved in planning their care. People had their own care plan which was reviewed when needed. People could have visitors without restrictions.

People were supported by staff who were trained and supported in their roles. Staff understood safeguarding responsibilities and told us they would report any concerns to their manager.

People told us they enjoyed living at Cote House and felt able to complain if they needed to. There was an open and inclusive culture at the service, the registered manager was approachable and a visible presence.

People told us and we observed that staff were kind and caring. Staff used different ways to communicate with people, there were sufficient staff to enable them to sit and talk to people. People were able to follow their own interests and join in with group activities if they wished.

People’s views had been sought and action taken to change the service or make improvements following their feedback. People had the opportunity to attend ‘house meetings’ to meet with other people and discuss views.

The service met the characteristics of Good overall; more information is available in the full report below.

Rating at last inspection:

At our last inspection in January 2018 we rated the service as Requires Improvement. We identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because people did not receive care and treatment that was appropriate and that met their individual needs and preferences. There was a lack of managerial oversight which meant quality and safety was not monitored or improved where needed. In addition, staff did not receive training to ensure they had the skills to complete their role.

Why we inspected: This was a planned comprehensive inspection based on the rating at the last inspection.

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.

Inspection areas

Safe

Requires improvement

Updated 16 March 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 16 March 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 16 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 16 March 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 16 March 2019

The service was well-led

Details are in our Well-Led findings below.