CQC report explained · a nursing home
What the CQC found at The Cotswolds
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2020
Inspected but not rated; inspectors found good infection-control practice during a targeted COVID-19 visit.
The inspection took place on 19 August 2020. It was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.
Inspectors found examples of good practice. Visitors had temperature checks, risk assessments, handwashing and protective equipment. People were helped to understand social distancing and to keep in touch with family by video calls.
The inspectors said they were assured that the home used PPE safely, accessed testing, followed shielding and social distancing rules, and had effective cleaning and infection-control arrangements.
The home was inspected but not rated. This was not a full inspection of all aspects of care, so it does not provide ratings for the other key questions.
Clear information about the pandemic
People were given information in a way intended to help them understand the pandemic and social distancing. Easy-read documents were created by the in-house speech and language therapy team.
“Information to help people understand the pandemic had been delivered on a one to one basis.” from the report
Visitor safety checks
Visitors had a COVID-19 risk assessment and temperature check. They were given protective equipment and directed to wash their hands.
“On arrival visitors completed a Covid -19 risk assessment. Their temperature was recorded, and they were provided with personal protective equipment including disposable gloves, apron and masks to protect people.” from the report
Contact with family
Staff helped people keep in regular contact with friends and family through frequent video calls. Donated Kindle devices were also used.
“People were supported to keep in regular contact with friends and family. Staff facilitated frequent video calls.” from the report
Cleaning and infection control
The home had additional domestic staff to support increased cleaning and deep-cleaning routines. Inspectors were assured that infection-control procedures were robust.
“Robust infection control procedures were in place. Additional domestic staff had been employed to meet the requirements of increased cleaning and deep cleaning routines.” from the report
Inspectors raised no specific concerns in this report.
- 01How have the infection-control arrangements described in this report been maintained since the inspection on 19 August 2020?
- 02How are visitors currently assessed and supported to use handwashing and personal protective equipment?
- 03How are people currently supported to understand health information and social distancing if they need it?
- 04How are people currently supported to keep in contact with their family and friends?
- 05How often are cleaning and deep-cleaning routines carried out, and are there enough staff to maintain them?
This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other key questions. This explanation was written from the published report of 10 September 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.
What inspectors found, January 2018
Rated Good; inspectors found safe, kind and person-centred care, and the home remained Good since the previous inspection.
This was a comprehensive inspection over three visits. The first visit was unannounced, the second was announced, and the inspection ended with a telephone call to a relative. Inspectors spoke with people living at the home, relatives and staff, and reviewed care records, recruitment files, audits, training, staffing and complaints information.
The home provided nursing and personal care for 29 people with acquired brain injuries, including some people with complex physical needs. Inspectors found enough staff, safe medicine arrangements, suitable risk assessments and safe recruitment. Staff were trained and supported, and people were helped to access health services and maintain their independence.
Inspectors found that staff treated people with kindness, dignity and respect. Care plans reflected people's needs and preferences, people and relatives were involved in reviews, and complaints could be raised and were monitored. The home had an open culture, with feedback and audits used to support improvements.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was also rated Good at the previous inspection on 5 and 6 November 2015.
Safe staffing
Inspectors found enough staff to meet people's needs safely. Staffing was consistent, and contingency arrangements were in place for unexpected absences.
“There were enough staff to support people safely.” from the report
Kind and respectful care
Staff built positive relationships with people and supported their choices, privacy, dignity and independence.
“Staff treated people with kindness, respect and compassion.” from the report
Personalised care
Care plans included people's backgrounds, preferences, communication and support needs. People and relatives were involved in reviewing their care.
“Care plans were person centred and comprehensive, identifying people's background, preferences, communication and support needs.” from the report
Open management
Staff, people and relatives were encouraged to share feedback. The home used meetings, audits and feedback to identify and act on improvements.
“The service had an open culture where staff had the opportunities to share information; this culture encouraged good communication and learning.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and update my relative's care plan as their needs, preferences or communication change?
- 02How will you support my relative's specific acquired brain injury and any complex physical needs?
- 03How are medicine audits reviewed, and what action is taken if an error or gap is found?
- 04How will you support my relative to make choices, follow their preferred routines and maintain their independence?
- 05How can our family raise concerns, and how will we be told what action has been taken?
This was the home's second comprehensive inspection and covered all five questions; inspectors visited on three dates, with the first visit unannounced, the second announced and the final contact by telephone. This explanation was written from the published report of 16 January 2018 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 The Cotswolds
2 rated inspections over 2 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- April 2013
Registered with the Care Quality Commission on 25 April 2013.
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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What to check when you visit
At least 100 live-in carers within about an hour of West Northamptonshire
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 £1,280 a week. 87 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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.