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Cow Lees Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 26 February 2020

About the service

Cow Lees Care Home is a care home providing personal and nursing care and accommodation for up to 73 adults living with dementia or mental health needs. The care home is made up of three sperate units. These include Cow Lees, a converted two-storey building with 18 bedrooms and communal facilities. Astley House, a purpose built two-storey building with 24 bedrooms. Sole End, a purpose-built three-story building, which specialises in supporting people with complex behaviours and early onset dementia. At the time of our inspection visit there were 69 people receiving care.

People’s experience of using this service

There were checks in place to ensure good standards of care were maintained, however improvements were required to ensure all checks were effective because they had not identified concerns we found during our inspection visit, including some environmental risks.

The registered manager worked in partnership with outside agencies to improve the service. Staff felt supported and valued by senior staff.

People felt safe using the service. Staff managed the risks to people’s health, safety and well-being and understood how to recognise and report abuse. Staff recruitment processes included background checks to review their suitability to work with vulnerable adults.

People received support from staff when needed. People were supported to have enough to eat and drink to maintain their well-being. They were supported with their medicines and to obtain advice from healthcare professionals when required.

Staff received training and guidance on how to support people, however, some gaps were identified in key areas.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were treated with dignity and their independence was promoted wherever possible. People were encouraged to take part in activities which interested them and which improved their wellbeing.

People and their relatives were involved in planning care in their best interests. People and their families understood how to complain if they wanted to.

Rating at last inspection and update

The last inspection was a comprehensive inspection. The service was rated Good in all areas (report published 14 July 2017). We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

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

Inspection areas


Requires improvement

Updated 26 February 2020

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 26 February 2020

The service was not always effective.

Details are in our effective findings below.



Updated 26 February 2020

The service was caring.

Details are in our caring findings below.



Updated 26 February 2020

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 26 February 2020

The service was not always well-led.

Details are in our well-Led findings below.