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Archived: Cossins House Care Home Good

The provider of this service changed - see old profile

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Inspection Summary


Overall summary & rating

Good

Updated 18 August 2017

This inspection took place on the 27 June 2017 and was unannounced.

Cossins House Care Home is registered to provide the regulated activity of accommodation for persons who require personal care to a maximum of 24 people.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service provided outstanding end of life care. People were cared for by attentive staff, led by an experienced and compassionate registered manager and were supported by palliative care specialists. Staff ensured people had their final wishes met in relation to spending their final days at Cossins House in a peaceful and tranquil setting. Services and equipment were provided as and when needed. This ensured that people experienced a comfortable and dignified pain free end of life care.

Staff were especially compassionate and people and their relatives were extremely complimentary about the care they received. Relatives especially told us that they felt their family members were truly loved and cared for by all the staff.

People and their relatives told us they felt the home was safe. They told us that staff were kind and they had no concerns about being safe. Staff had received training in relation to safeguarding and were aware of the processes to be followed when reporting suspected or actual abuse. The provider had carried out appropriate recruitment checks so as to ensure that only suitable staff worked with people at the home. Medicines were managed in a safe way and recording of medicines was completed to show people had received the medicines they required. Risks to people had been identified and documentation had been written to help people maintain their independence whilst any known hazards were minimised to prevent harm.

There was sufficient staff on duty at all times to ensure that people’s assessed needs could be met. Staff had a good understanding about people’s life histories, their preferences and how to attend to the needs of people.

Staff had received training, supervisions and annual appraisals that helped them to perform their duties. Staff had received all the mandatory training required and other training that enabled them to provide effective care to people.

Where there were restrictions in place, staff had followed the legal requirements to make sure this was done in the person’s best interests. Staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure decisions were made for people in the least restrictive way. The registered manager logged any accidents and incidents that occurred and discussed these with staff so lessons could be learnt to help prevent a repeat of these.

Staff supported people to eat a range of freshly prepared foods. People with specific dietary requirements were provided with appropriate food. People had access to all external healthcare professionals and their involvement was sought by staff when appropriate to help maintain good health.

Staff showed kindness and compassion and people’s privacy and dignity were upheld. People were able to spend time on their own in their bedrooms, could freely access all communal areas of the home and their personal care needs were attended to in private. People took part in a variety of activities that interested them. People’s relatives and visitors were welcomed and there were no restrictions of times of visits.

Documentation that enabled staff to support people and to record the care they had received was up to date and regularly reviewed. People and their relatives were involved in the reviewing of their care.

A complaints procedure was available for any concerns. This was displayed at t

Inspection areas

Safe

Good

Updated 18 August 2017

The service was safe.

Staff were knowledgeable about the process to be followed if they suspected or witnessed abuse.

There were sufficient staff deployed at the home to meet people�s needs.

Risks to individual people had been identified and written guidance for staff about how to manage risks was being followed.

Accidents and incidents were recorded and monitored by staff at the home to help minimise the risk of repeated events.

The provider had carried out full recruitment checks to ensure staff were safe to work at the service.

People�s medicines were managed, stored and administered safely.

Effective

Good

Updated 18 August 2017

The service was effective.

Staff received appropriate training and had opportunities to meet with their line manager regularly to receive one to one support.

Where people�s liberty was restricted or they were unable to make decisions for themselves, staff had followed legal guidance.

People were involved in choosing the food they ate and alternative meals were provided.

People had involvement from healthcare professionals as and when required and staff to supported people to remain healthy.

Caring

Outstanding

Updated 18 August 2017

The service was caring.

People received excellent end of life care that ensured their final days were peaceful and dignified.

Staff respected people�s privacy and dignity and made them feel that they mattered.

Staff were very caring, kind and supportive people to be independent.

Relatives and visitors were welcomed and able to visit the home at any time.

Responsive

Good

Updated 18 August 2017

The service was responsive to people's needs.

Staff responded well to people�s needs or changing needs and care plans were written with people and their relatives.

People had opportunities to take part in activities that interested them.

Information about how to make a complaint was available for people and their relatives.

Well-led

Good

Updated 18 August 2017

The service was well-led.

The registered manager worked closely with external agencies to promote good outcomes for people.

Quality assurance checks were completed to help ensure the care provided was of good quality. There was a system in place to ascertain the views of people about the care and support they received from the service.

There was a registered manager in post and a staff structure where everyone was aware of their roles. The registered manager led by example and promoted and respected people�s end of life wishes.

Staff felt supported by the registered manager who had an open door policy.

The provider sought the views of people, relatives and staff about how the home should be run.