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Archived: Cotswold Lodge

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 27 September 2011
Date of Publication: 19 October 2011
Inspection Report published 19 October 2011 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

Our judgement

The registered provider is not adequately monitoring the quality of the service provided. No action is being taken to improve the service provided even when internal audits and information gathering exercises identify problems.

Overall, we found that improvements were needed for this essential standard.

User experience

We did not speak directly to people about this outcome.

Other evidence

The manager told us they completed regular internal audits of the service. We read some examples such as care plan audits, audits of any events of note at the home and of medication. The need for minor repairs or redecoration is recorded and referred to the organisation, who then sub contracted the maintenance work, but response to requests was slow.

The views of people living at the home are sought at resident’s meetings,keyworker meetings and at care plan reviews and are well recorded.

There have been changes in the senior management of the home over recent months. Although provider visits had been taking place, work that had been identified as needing to be done to improve the environment over a period of months had not been planned for or carried out and no full environmental audit had been carried out.