- Homecare service
Cosford House
Assessment report published 7 April 2026
Contents
Ratings
Our view of the service
Date of Assessment: 10 March, 12 March and 13 March 2026.
Cosford House is a supported living service which is registered to support adults of all ages living with long‑term mental health needs, learning disabilities, and older people, some of whom lived with physical conditions and complex mental health histories. This service provided care and support to people living in a ‘supported living’ setting, so that people could live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. This inspection looked at people’s personal care and support. People lived in private rooms within the same location with access to shared communal areas, such as kitchen, dining room. At the time of the inspection there were 10 people receiving the regulated activity of personal care.
The inspection was undertaken due to the length of time since we last visited the service.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability or autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The provider worked in line with these principles.
People told us they felt safe, settled and well supported, and relatives consistently described the service as warm, family‑centred and responsive. One visitor said the service, “Feels like a safe and friendly place. People always seem content and happy.”
Staff knew people well and provided care that reflected their personalities, routines and preferences. We observed kind, respectful interactions and saw that people had trusting relationships with staff and managers. People were supported to maintain and develop independence, including cooking, budgeting, travelling, and taking part in a wide range of activities, community events and health‑promoting routines.
Staff ensured people’s environment was clean and safe. People had equitable access to health professionals and community resources, and staff advocated for them during appointments and hospital attendances.
Leaders were visible, compassionate and highly committed to people’s wellbeing. Staff described a positive culture where they felt valued and able to speak up. Governance systems had strengthened significantly, although some areas, such as care‑plan completeness, medicines records, safeguarding documentation and mandatory training, still required embedding. The provider’s active service improvement plan demonstrated there was clear progress and ongoing commitment to refinement.
Overall, Cosford House demonstrated a caring, inclusive culture with strong community involvement and continuous improvement, where people experienced a meaningful and fulfilling daily life.
People's experience of this service
People told us they felt happy, settled and well‑supported living at Cosford House. Relatives consistently described the home as welcoming, safe and family‑centred, and people spoke warmly about the staff who supported them every day. People said they had good relationships with staff and enjoyed a homely environment where they felt understood as individuals.
People described experiencing kind and respectful care. One relative told us, “They’re always so nice with him and keep him clean and tidy; he gets his baths regularly and is always looked after.” Another said, “They explain things to him when he gets worried and talk him through what’s going on.” People told us they trusted staff and felt able to talk to them if they were upset or anxious.
People were supported to remain independent and follow their interests. One person told us, “I like my boxing and going out. They help me cook and we play games together.” Another relative said, “He’s come on in leaps and bounds. He’s a different person now.” Families valued the wide range of activities and community involvement, including theatre trips, exercise groups and holidays, which people said helped them feel included and motivated.
Relatives told us they felt listened to and involved. One shared, “If I’m ever worried, I get straight onto [the registered manager] and they always talk it through with me.” Another said, “They ring me about any changes and make sure he understands too. He trusts them completely.” People confirmed they knew who to speak to if things went wrong, and felt confident concerns would be acted upon.
People described positive experiences around meals, with staff involving them in menu ideas and supporting those who needed extra help. One family member commented, “He loves the meals; he’s even put weight on.”
People felt safe, and relatives described strong staff awareness of health needs. One person told us, “They help me with my tablets and check on me. If I’m not right, they sort it.” Staff were described as calm and reassuring, especially when supporting people with fluctuating mental health.
Overall, people experienced a warm, inclusive and genuinely caring service. They described staff who knew them well, supported them as individuals and helped them to enjoy meaningful, fulfilling lives.