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Inspection Summary


Overall summary & rating

Good

Updated 4 August 2021

Cotswold House is a large detached bungalow situated in the extensive grounds of Somerset Court which is owned by the provider. The home accommodates six people who have autism and complex support needs. Up to three people live in the main part of the home; three people live in three self-contained flats attached to the main house. At the time of the inspection six people were living at the home.

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

There were systems in place to ensure staff were aware of risks of people choking. Risk assessments were reviewed and updated where required. Staff were kept up to date of any changes to people’s care plans and risk assessments. We observed staff following the care plans and risk assessments. Risks were discussed during team meetings and group supervisions. The provider also carried out checks on the staffs knowledge and competence.

People were protected by infection control policies and procedures. Staff had received training in

infection control and the correct use of personal protective equipment [PPE]. Specific risk assessments had been put in place to support people relating to COVID-19. We identified an area of the home which was cluttered making it difficult to clean, the deputy manager told us they would address this.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was not able to demonstrate how they were meeting all of the underpinning principles of Right support, right care, right culture. This was because the service had been originally set up as a campus setting. There were five other registered care homes set in the grounds of Somerset Court in close proximity to Cotswold House. The service was registered with us prior to the guidance being implemented. The provider had plans in place to address this and could demonstrate they were making progress.

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

Rating at last inspection

The last rating for this service was good (published 20 March 2019).

Why we inspected

We undertook this targeted inspection to check on a specific concern we had about staff following guidance relating to eating and drinking assessments. A decision was made for us to inspect and examine those risks. We also reviewed the infection control procedures as part of our current methodology.

We found no evidence during this inspection that people were at risk of harm from this concern.

Please see the safe section of this full report.

The overall rating for the service has not changed following this targeted inspection and remains good.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cotswold House 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

Good

Updated 4 August 2021

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 4 August 2021

Caring

Good

Updated 4 August 2021

Responsive

Good

Updated 4 August 2021

Well-led

Good

Updated 4 August 2021