CQC report explained · a nursing home
What the CQC found at The Cottage Christian Nursing and Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm. Risks were monitored, call bells were answered promptly, medicines were safely managed and infection control procedures were followed.
- Effective?
- Good
- People’s care, health, nutrition and hydration needs were assessed and monitored. Staff were trained and worked with health professionals when needed.
- Caring?
- Good
- People said staff were kind, caring and respectful. Staff listened to people, respected their choices and supported contact with important people.
- Responsive?
- Good
- Care plans reflected people’s individual needs, preferences and interests. People had social activities, could choose quiet time and knew how to raise concerns.
- Well-led?
- Good
- The home had a clear management structure and regular internal and external checks. Staff felt able to speak openly and contribute ideas.
What inspectors found, June 2019
Rated Good; inspectors found safe, kind and personalised care with effective management.
This was an unannounced inspection on 4 June 2019. One inspector and an expert by experience visited the home. They spoke with seven people living there, two relatives and six staff. They also observed care and checked care, medicine, training and management records.
The inspectors found people were safe and supported by enough trained staff. Medicines were managed by qualified nurses. Risks were assessed, infection control was followed and the home was clean. People’s health, eating and drinking needs were monitored, and staff worked with health professionals.
People described staff as kind, caring and respectful. Care was personalised, with activities and community links available. Complaints had been dealt with and resolved. The home was rated Good in all five areas and overall, the same overall rating as at the previous inspection in September 2016.
Safe staffing and medicines
Inspectors found enough staff to meet people’s needs, with prompt responses to call bells. Qualified nurses managed medicines safely and checks were carried out.
“People received the right medicine at the right time.” from the report
Kind and respectful care
People said staff were kind and caring. Inspectors saw staff listen to people, respond to requests and respect privacy, dignity and personal choices.
“We saw staff engaged with people in a warm and kind manner.” from the report
Personalised support
Care plans included people’s health needs, preferences, wishes and protected characteristics. Families and advocates were involved where appropriate.
“The care and support plans that we saw reflected people's individual health and social needs and any protected characteristics.” from the report
Good management checks
The home used audits and other checks to monitor medicines, infection prevention, health and safety, and the quality of care.
“The quality of the service continued to be monitored well.” from the report
Activities and social contact
People had opportunities for activities and social stimulation. Staff also supported people to maintain links with their community and important relationships.
“People had opportunities for social stimulation and were supported to maintain links with the local community where able.” from the report
Inspectors raised no specific concerns in this report.
- 01The inspection was in June 2019. What are the home’s current ratings and what has changed since that inspection?
- 02How many nurses and care staff will be on duty for each shift, and how are staff numbers matched to residents’ needs?
- 03How will you manage my relative’s specific nursing risks, such as moving, eating and drinking, falls or skin care?
- 04What activities would suit my relative, and how would you support them to keep in contact with family and the local community?
- 05How would you support my relative if they needed end of life care, given that no one was receiving it during the inspection?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality and safety of care. This explanation was written from the published report of 26 June 2019 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, November 2016
The Cottage Christian Nursing and Residential Home is rated Good; inspectors found safe, kind and responsive care, with earlier improvements sustained.
The inspection was unannounced and took place on 19 September 2016. Inspectors spoke with people living in the home, relatives and staff. They observed care and checked care records, medicines records, complaints, accidents, incidents and quality checks.
The home was rated Good in all five areas. People were found to be safe, supported by enough staff and given medicines safely. Staff were trained, followed consent rules and supported people's food, drink and healthcare needs.
Inspectors found kind and respectful care. People were supported to make choices, stay independent, keep important relationships and enjoy personalised activities. The home had systems for complaints, feedback and checking the quality of care.
At the previous focused inspection, three areas were rated Requires Improvement because improvements needed to be consistent and lasting. This inspection found that the improvements in staffing, consent and quality checks had been sustained. The report says the provider was meeting all legal requirements.
Safe staffing
Inspectors found enough staff to meet people's needs and respond promptly. The home had arrangements to cover staff absence.
“People were supported by sufficient numbers of staff to ensure their needs were met and they were safe.” from the report
Safe medicines
People received medicines as prescribed from trained staff. Medicines were stored securely, and instructions were in place for medicines given when needed.
“People received their medicines by staff who had been suitably trained and had been assessed as competent.” from the report
Personalised activities
The activities coordinator arranged individual and group activities based on people's interests and abilities. People were also supported with activities outside the home.
“Activities were arranged taking account of the needs and preferences of each person.” from the report
Quality improvement
The home used audits, complaints and feedback to identify and complete improvements. Inspectors found that earlier improvements had been sustained.
“During this inspection we found that improvements had been sustained and were consistent.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough staff when someone is absent, and how often do you use agency staff?
- 02How often will you review my relative's care plan, and how will you involve us in changes?
- 03How do you check that medicines prescribed to be given when needed are given safely and with the right instructions?
- 04How will you meet my relative's cultural food preferences if they need a pureed diet or thickened fluids?
- 05How will you support my relative to take part in activities that match their interests and communication needs?
This inspection considered the overall quality of the home and gave ratings for all five areas; the previous focused inspection had rated Safe, Effective and Well-led as Requires Improvement. This explanation was written from the published report of 2 November 2016 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 Cottage Christian Nursing and Residential Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Cottage Christian Nursing and Residential Home →
- November 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Cottage Christian Nursing and Residential Home →
- October 2015Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Requires improvement
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 24 October 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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