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Archived: The Cottage Nursing Home Limited Requires improvement

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 September 2020

The Cottage Nursing Home Limited is a nursing home which provides nursing and personal care for up to 53 older people. Thirty-one people were living at the service at the time of our visit.

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

Although the arrangements for assessing risk, safety monitoring and management within the service had improved since the last inspection, a number of fire safety risks had been identified in the environment and some works were required to be carried out.

Infection control measures had been increased since Covid-19 and the CQC had signposted the manager towards updated guidance for Personal Protective Equipment (PPE) in Care Homes for their staff.

Risk assessments were in place to support people to receive safe care.

People who used the service told us they felt safe. They told us staff treated them well and they knew who the manager was.

Safeguarding investigations were completed as required and appropriate action was taken when staff had not met expectations.

Relatives felt that communication could have been better during Covid-19. Professional agencies confirmed the management team had worked alongside them during Covid-19 and kept them informed.

The provider had quality monitoring systems in place which reviewed incidents and looked for patterns of behaviour. This was helpful to identify trends, or key times when people may need additional support.

The management team were striving to improve the culture within the service and took an open and transparent approach when incidents occurred. The management team were eager to learn and share good practice and this helped people remain safe. Systems were in place to audit the care provided and to seek feedback from people involved with the service.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 9 September 2019).

At this inspection we found improvements had been made and the provider was no longer in breach of regulation, however the overall rating remains the same.

Why we inspected

We carried out an announced comprehensive inspection of this service on 1 August 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions, Safe and Well-led, which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has not changed.

This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Cottage Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 30 September 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 30 September 2020

Caring

Good

Updated 30 September 2020

Responsive

Requires improvement

Updated 30 September 2020

Well-led

Good

Updated 30 September 2020

The service was well-led.

Details are in our well-Led findings below.