CQC report explained · a residential care home
What the CQC found at Cotleigh
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2021
Inspected but not rated; inspectors were assured about infection control, but advised the home about the disinfectant used on floors.
This was an announced, targeted inspection on 4 March 2021. It looked only at infection prevention and control because of coronavirus outbreaks in care homes.
Inspectors were assured that the home used personal protective equipment safely, arranged testing, managed visitors and admissions, and followed shielding and social distancing rules. The home was clean and well maintained, with regular cleaning of frequently touched areas.
People were supported to keep in touch with relatives through telephone and video calls, and a visiting pod had been built. The home had offered vaccination and carried out regular COVID-19 testing for people living and working there.
The service was inspected but not rated. This report does not give an overall quality rating or ratings for care, staffing, responsiveness or leadership.
Contact with relatives
The home supported telephone and video calls and had built an outside visiting pod for face-to-face visits.
“A visiting pod had been erected outside to facilitate face to face visits.” from the report
Clean environment
Inspectors found the premises clean and well maintained. Refurbishment work was also taking place.
“The premises were clean and well maintained.” from the report
Infection control training
Staff had received infection prevention and control training, with their competence checked regularly. Inspectors saw staff following the correct procedures.
“All staff had received training in infection prevention and control and their competency in this area was regularly checked by managers.” from the report
COVID-19 measures
People living and working at the home had been offered a vaccine and were tested regularly in line with government guidance.
“All people living and working at Cotleigh had been offered a vaccine and were regularly tested for COVID-19 in line with government guidance.” from the report
Floor disinfectant
minorInspectors signposted the provider to information about using the most effective disinfectant for cleaning floors. The report does not say that this led to a breach.
“We have also signposted the provider to resources to ensure the most effective disinfectant is being used to clean the floors throughout the home.” from the report
- 01What disinfectant is now used to clean the floors, and how is this checked?
- 02How are infection prevention and control skills checked for new and existing staff?
- 03What are the current arrangements for testing people living and working at the home?
- 04How can relatives visit or keep in touch if face-to-face visits are restricted?
- 05What refurbishment work has been completed since the inspection?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the report does not assess the other key questions. This explanation was written from the published report of 24 March 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.
What inspectors found, March 2020
Cotleigh rated Good; inspectors found kind, personalised care, with some records needing improvement.
This was an unannounced planned inspection on 4 March 2020. Inspectors spoke with people, relatives and staff, observed daily care, checked the building and reviewed care, medicine and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, kind and respectful care, suitable activities and effective management.
There were two areas where records needed improvement. Staff needed to record the thickness of modified fluids consistently, and the home was still embedding a new system for recording topical medicines.
Kind and respectful staff
People and relatives gave consistently positive feedback about staff. Inspectors saw staff offering reassurance and treating people with dignity.
“People were cared for by staff who treated them with kindness, dignity and respect.” from the report
Personalised care
Staff knew people's personalities, life histories and preferences. Care plans were updated when people's needs changed.
“Staff demonstrated a good knowledge of people's personalities, individual needs and what was important to them.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs promptly. Medicines were ordered, stored, given and disposed of safely.
“There were enough staff to keep people safe and meet their needs in a timely manner.” from the report
Activities and friendships
People could take part in activities suited to their preferences and were supported to build friendships within the home.
“People living at Cotleigh had been supported to develop friendships with each other.” from the report
Open management
The manager was accessible and used audits, feedback and staff discussions to support improvements.
“There was a suitable quality monitoring system in place, to help staff make continuous improvements to the care people received.” from the report
Thickened-fluid records
needs fixingRecords did not always show the thickness of modified fluids consistently. The manager said this would be addressed through supervision, staff meetings and closer monitoring.
“Some improvements were needed to the records staff made about the provision of thickened fluids, to ensure the fluid thickness level was consistently recorded on each occasion.” from the report
Topical-medicine recording
needs fixingThe home had recently introduced a new system to improve records for topical medicines. Inspectors said extra oversight was needed to make sure the improvements became consistent and lasted.
“Senior staff had increased their oversight of the new recording system, to ensure the necessary improvements were embedded and sustained.” from the report
- 01How do you now check that the thickness of modified fluids is recorded correctly every time?
- 02How is the new topical-medicines recording system checked, and what happens if records are incomplete?
- 03How many staff are normally available on each shift, and how do you respond when people's needs change?
- 04How are relatives involved in reviewing care when a person cannot make decisions for themselves?
- 05What activities are available for someone with my relative's interests and communication needs?
This was an unannounced planned inspection covering all five key questions, the premises and care provided; inspectors reviewed a sample of care records and did not ask the provider to complete a provider information return. This explanation was written from the published report of 18 March 2020 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 Cotleigh
3 rated inspections over 4 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 16 February 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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