CQC report explained · a residential care home
What the CQC found at Adele Cottages
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found a safe, clean and well-maintained environment, enough trained staff, appropriate risk assessments and safe medicines support. Restrictive practices were used only as a last resort and for the shortest time possible.
- Effective?
- Good
- Care plans reflected the person's needs and goals. Staff supported health, independence, meaningful activities and contact with other professionals. One staff member said further training and development was not always easy to access.
- Caring?
- Good
- Staff were kind and respectful and protected the person's dignity and privacy. The person was involved in care decisions and was supported to challenge restrictions and maintain important relationships.
- Responsive?
- Good
- Support was personalised to the person's communication, sensory and cultural needs. Complaints were investigated and lessons were shared, although a relative said communication about incidents had not always been effective.
- Well-led?
- Good
- Inspectors found positive leadership, effective checks on quality and an open culture. The registered manager was not regularly on site, but inspectors found the arrangements maintained good-quality support and continuity of care.
What inspectors found, December 2021
Rated Good; inspectors found safe, kind and person-centred care, with some communication and staff development issues to keep under review.
This was the first inspection of the newly registered home. It was an unannounced, planned comprehensive inspection on 2 November 2021. One inspector spoke with the person living there, staff and others, observed care, and checked care, medicine, recruitment and management records.
The home supports up to two people, including autistic people and people with learning disabilities or drug and alcohol problems. One person lived there at the inspection. Inspectors found a clean, safe and well-maintained home with enough trained staff who understood the person's needs.
Care was kind, respectful and focused on the person's choices, independence and quality of life. Staff supported community activities, healthy living, meaningful activities and gradual progress towards less staff support. The home also supported the person with legal and health professionals where needed.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection, so there was no previous rating to compare with. CQC said it would continue monitoring information and could inspect sooner if concerns arose.
Person-centred support
The person's needs, wishes and quality of life shaped their care. Staff supported the person to make choices and work towards greater independence.
“They provided care that was genuinely person centred.” from the report
Respect and kindness
Staff understood the person well and treated them with dignity. Inspectors saw relaxed and friendly interactions that helped reduce anxiety.
“We observed positive interactions between the person and the staff supporting them.” from the report
Support for independence
The person was involved in managing risks, medicines, cooking and everyday skills. Staff were helping them gradually increase time in the community and at home without direct staff support.
“The person was empowered to manage their own medicines as far as they were able.” from the report
Safety and learning
Staff reported and investigated incidents, then shared lessons with the wider team. Inspectors also found appropriate infection prevention arrangements.
“Lessons learnt from incidents were shared with the whole team and the wider service.” from the report
Positive leadership
The home had a positive culture, quality checks and staff who understood the provider's values. Inspectors found that leadership arrangements worked despite the manager not being regularly based at the home.
“The service was well led.” from the report
Staff development
minorA staff member said that further training and development opportunities were not always easy to access. The manager said this would be addressed at a staff meeting.
“However, a staff member told us opportunities for further training and development were not always easy to access.” from the report
Updates for relatives
minorA relative wanted more regular information about the person's progress at the home.
“However, a relative told us they would prefer more regular updates to be provided on the progress the person was making at the service.” from the report
Communication about incidents
minorA relative said communication about incidents had not always been effective, although it had improved recently.
“A relative told us that communication from the service about incidents had not always been very effective but seemed to have improved recently.” from the report
- 01How would you support my relative to increase their independence and take positive risks safely?
- 02How would you manage any restrictions on my relative, and how would you work with them to review or reduce those restrictions?
- 03How often would you give our family updates about progress, incidents and changes in care?
- 04How do you make sure staff have easy access to training and development relevant to my relative's needs?
- 05How would you support my relative to manage their own medicines, if they were able to do so?
This was the first unannounced comprehensive inspection, covering Safe, Effective, Caring, Responsive and Well-led, with infection prevention and control also reviewed under Safe. This explanation was written from the published report of 31 December 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Adele Cottages
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2020
Registered with the Care Quality Commission on 28 September 2020.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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75 live-in carers within about an hour of Nottinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.