- Care home
Cow Lees Care Home
Assessment report published 17 July 2025
Contents
Ratings
Our view of the service
Date of assessment : 02 June to 09 June 2025. Cow Lees Care Home is a nursing home providing care to younger and older people, people with mental health needs and people living with a cognitive impairment. At the time of our inspection there were 70 people living at the service. Care and support are provided across 3 separate buildings on one site. One of the buildings specialises in providing care for people who may express increased distress or agitation due to their cognitive disability. Reports and judgements in each key question will be written as an overall rather than by each specific unit unless where stated.
This assessment was completed to follow up on action we told the provider to take at the last inspection. The provider was previously in breach of the legal regulations in relation to consent, safe care and treatment and good governance. Some improvements were found at this assessment and the provider was no longer in breach of the regulations in relation to consent and safe care and treatment. However, the provider remains in breach of the regulation relating to good governance because not enough improvement was made. We also found a breach related to premises which had potential to put people at risk of harm.
The provider had improved their quality assurance systems since the last inspection and there were systems and process however these were not fully embedded in day-to-day practice. Where checks were delegated to others, there was limited or no oversight to ensure those checks were completed or accurate. A lack of effective checks of the environment put people at risk of harm. We found some fire doors may not provide the right amount of protection in the event of a fire because checks did not identify potential problems. Exposed radiators, window restrictors and some windows that could become an entrapment risk put people at risk of harm. Infection control practices required improvement to limit the risk of cross infection. People were supported to use a courtyard, but people were under supervision at all times because of risks within the courtyard. There was a lack of consideration to balance and managing risk with constant supervision and people’s freedoms.
Staff considered decisions in people’s best interests where they did not have capacity, but these were not always recorded clearly to evidence why specific decisions were reached. Staff reviewed assessments taking account of people’s communication, personal and health needs. Staff worked with agencies involved in people’s care to support the best outcomes. Our observations showed staff were on hand to support people when situations quickly escalated. People had opportunities to provide feedback through ‘resident of the day’ and via feedback forms. Staff protected people’s privacy and dignity and offered people choice in their day to day activities.
Staff received training relevant to their roles to keep their skills and practice updated. Managers told us they completed staff supervisions and observations of staff practice. People were protected and kept safe from abuse. Where accidents and incidents took place, managers reviewed and investigated those to learn lessons which staff told us where shared with them to keep people safe. Managers worked well with external teams to ensure people received the right care at the right time. It was evident there were improvements from the previous inspection, but more work was needed. The management team were committed to continue to improve where required to make sure people received care in a safe way.
People's experience of this service
People felt safe living at the home. Some people told us they had made friends since moving there. People were pleased with their room and relatives told us they were kept informed of any changes to their family members overall health and welfare. People and relatives said medicines were given at the right times. Relatives said staff were well trained and knew how to care for their family member. People and relatives generally felt they received care from a staff team with agency staff supporting when required. Not everyone thought there were enough staff but overall people said they did not wait long for assistance. People told us the food was good and relatives said staff bring treats around all of the time, such as cake and biscuits and jelly. People said they had choice of meals and most people ate in the dining room.Relatives were complimentary of the management team. Relatives said the home held relatives’ meetings to share any feedback, but they did not attend. No one had made a complaint but if they did, they knew how and who to report to. Comments we received were, “I really can’t fault anything with the home. They keep me well informed”, “They (the staff) seem to have their finger on the pulse. There is no slacking off. They are always busy. They are very well-trained and they gentle.”