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St Aiden's Cottage Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 5 December 2019

About the service

St Aiden's Cottage is a care home. It provides personal and nursing care for up to 41 people living with mental health conditions, learning disabilities and acquired brain injury. There were 30 people using the service at the time of inspection.

The service was larger than current best practice guidance. However, the size and design of the building did not have a negative impact on people. The building layout had four units each with its own kitchen and lounge area.

The service was working towards consistently applying the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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

Individual risks had not always been identified and appropriately managed to ensure people remained safe. Medicines were not managed safely. Some care plans contained conflicting and inaccurate information. Quality assurance systems were not effective in identifying the issues we found during the inspection.

Relatives and people we spoke with told us they were happy with the service. Staffing levels were determined by people’s care and support needs. We observed agency staff were not confident with the service’s IT systems which led to issues in the administration of medicines.

The provider had a robust recruitment process in place with pre-employment checks carried out to make sure staff were suitable to work in the service.

People were supported to engage in activities and access the local community. The provider had a therapeutic team to support people emotionally and physically. The therapeutic team had started developing Positive Behaviour Support (PBS) plans to support people achieve positive outcomes.

A complaints procedure was in place. People and relatives told us they had no complaints about the service. Staff told us they were happy working at the service and were supported by the management team and the provider.

The registered manager had notified the Care Quality Commission of all significant events which had occurred in line with their legal responsibilities.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 06 September 2017).

Why we inspected

We received concerns in relation to the management of safeguarding concerns, staffing levels, medicines and people’s nursing care needs. As a result, we undertook a focused inspection to review the Key Questions of Safe, Responsive and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.


We identified three breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 including safe care and treatment, person-centred care and good governance.

You can see what action we have asked the provider to take at the end of this full report. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Aiden’s Cottage on our website at

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 5 December 2019

The service was not always safe.

Details are in our safe findings below.



Updated 5 December 2019



Updated 5 December 2019


Requires improvement

Updated 5 December 2019

The service was not always responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 5 December 2019

The service was not always well-led.

Details are in our Well-Led findings below.