CQC report explained · a nursing home
What the CQC found at Cossham Gardens - Care Home with Nursing Physical Disabilities
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2022
Inspected but not rated; inspectors were assured about infection control during a COVID-19 outbreak.
This was an announced, targeted inspection on 17 January 2022. Inspectors looked mainly at infection prevention and control and asked about staffing pressures during a COVID-19 outbreak.
The inspectors were assured that the home was using protective equipment safely, managing visiting, testing people and staff, following social distancing guidance and keeping its infection control policy up to date. They also found that people continued to receive prompt medical attention when unwell.
The inspection did not give the home a Good, Requires Improvement or other quality rating. It recorded the service as inspected but not rated.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infections, including safe use of protective equipment, testing and cleaning.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visiting arrangements
Visits were individually risk assessed and arranged to support people's wellbeing while maintaining safety. Relatives spoken to gave positive feedback.
“We spoke with three relatives about visiting arrangements, their comments were positive about the process they followed, and they felt people were in safe hands.” from the report
Support during the pandemic
The report says the emotional wellbeing of people, families and staff was supported during the pandemic.
“The emotional wellbeing of staff, people and their families had been supported throughout the pandemic.” from the report
Monitoring and communication
The home used audits and spot checks, and the report describes communication between managers, staff, people and relatives as supportive.
“There was effective, supportive communication between the directors, managers, staff, people living at the home and their relatives.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19-related staffing pressures affecting care now?
- 02How do you risk assess visits and make sure they remain meaningful and safe?
- 03How do you check that staff and visiting professionals meet the COVID-19 vaccination requirements or have an exemption?
- 04How often do you check staff understanding and use of protective equipment and infection control procedures?
- 05What infection outbreaks or changes in infection control arrangements have there been since this inspection?
This was a targeted inspection of infection prevention and control and staffing pressures during a COVID-19 outbreak; it did not provide an overall rating or ratings for the other key questions. This explanation was written from the published report of 5 February 2022 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.
What inspectors found, December 2017
Cossham Gardens was rated Good; inspectors found safe, caring and well-managed support, with some agency staff less familiar with people.
CQC carried out a comprehensive, announced inspection on 25 November 2017. One inspector spoke with people, relatives, staff and health professionals. They also observed care and checked care records, training, staffing, medicines and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People received individual care from staff who generally knew them well. Inspectors found suitable risk plans, enough staff, safe medicines management and good support for health, nutrition and personal choices.
The home had improved its care records since the September 2016 inspection. The previous breach about unclear instructions for staff had been fixed. The overall Good rating therefore remained unchanged.
Personalised care
Care plans included people's needs, backgrounds, interests, likes and dislikes. Staff knew people well and adapted support to them.
“The care and support people received was highly individualised.” from the report
Safety and risk planning
The home had detailed plans for moving and handling, choking, bed rails and emergency evacuation. Staff understood how to protect people from harm.
“There were comprehensive individual risk assessments in place.” from the report
Kind and respectful staff
Inspectors saw calm, sensitive and respectful interactions. Staff protected privacy and asked permission before entering people's rooms or providing care.
“Whilst at the service we saw people were treated in a kind, caring and respectful way by staff.” from the report
Activities and relationships
People were offered varied activities based on their interests, including trips into the community. Relatives and friends were encouraged to visit and join activities.
“A range of individual and group activities were offered to people based upon their hobbies and interests and, likes and dislikes.” from the report
Quality oversight
Managers carried out regular audits and used action plans when they found areas needing improvement. Staff had access to senior advice when managers were not present.
“Comprehensive systems were in place to check on the standards within the service.” from the report
Warm water problem
minorDuring the inspection, people and relatives reported that water in one part of the home was not warm. Arrangements were made for hot water, and the problem was confirmed as fixed after the visit.
“At the time of our inspection people and relatives reported water in one part of the home was not warm.” from the report
- 01How do you make sure agency staff know each person's care plan, communication needs and preferences before providing care?
- 02How do you check that hot water remains available throughout the home?
- 03How often are each person's risk assessments and care plans reviewed when their health or behaviour changes?
- 04How will the new physiotherapist support residents with exercises and rehabilitation programmes?
- 05How are complaints, accidents and safeguarding concerns reviewed to make sure lessons are acted on?
This was a comprehensive, announced inspection covering all five CQC questions and included care records, staff records, medicines, staffing, activities and management systems. This explanation was written from the published report of 13 December 2017 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 Cossham Gardens - Care Home with Nursing Physical Disabilities
2 rated inspections over a year: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Cossham Gardens - Care Home with Nursing Physical Disabilities →
- December 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Cossham Gardens - Care Home with Nursing Physical Disabilities →
- November 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 2011.
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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40 live-in carers within about an hour of Bristol, City of
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 £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.