CQC report explained · a nursing home
What the CQC found at Ullswater Cottage
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found detailed risk assessments, enough staff, safe recruitment and medicines records that were completed accurately. They were also assured about infection prevention and control.
- Effective?
- Good
- Staff had training, supervision and support. People's nutrition, hydration, healthcare and rehabilitation needs were met, and the home followed the Mental Capacity Act principles.
- Caring?
- Good
- Inspectors saw kind and positive interactions. Staff respected people's choices, privacy, dignity, equality and communication needs.
- Responsive?
- Good
- Care plans were personalised and comprehensive. People were supported with rehabilitation goals, communication, relationships, interests, activities and end-of-life wishes.
- Well-led?
- Good
- Inspectors found positive leadership, good staff morale and effective checks covering areas such as medicines, training, the environment and infection control. People and families had opportunities to give feedback.
What inspectors found, June 2023
Rated Good; inspectors found personalised, safe and caring support, with all five areas rated Good.
This was the first inspection of the newly registered home. It was unannounced and took place over 4 and 5 May 2023. One inspector spoke with people, relatives and staff, observed care and checked records, including four care plans.
The home supports up to 10 people with acquired brain injuries, including nursing care and rehabilitation. Nine people were living there during the inspection. Inspectors found enough staff, safe medicines practice, suitable risk assessments and good infection control.
Care was personalised and respectful. Staff supported people's communication, nutrition, healthcare, activities and rehabilitation goals. Inspectors also found effective training, supervision, audits and management systems.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found consistently good care and outcomes, but the rating is not the highest possible rating.
Personalised care
Care plans gave staff detailed information about people's needs, preferences and communication. Inspectors found care was tailored to each person.
“People's care plans were person-centred and comprehensive providing information and guidance about people's health and care needs, and how best to support them.” from the report
Rehabilitation
The home worked towards individual rehabilitation goals. Inspectors saw examples of improved mobility and people becoming able to eat orally.
“We saw examples whereby, through rehabilitation work, some people had improved mobility and others now were able to eat food orally.” from the report
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors saw staff treating people with kindness, respect and attention.
“The interactions we observed were positive, with staff and people engaging well and being attentive to people's needs.” from the report
Safe staffing and medicines
People told inspectors staff were available when needed. Medicines were stored securely and the records checked by inspectors were accurate.
“The MARs we looked at were completed accurately and correctly.” from the report
Quality checks
The home had regular checks and audits across important areas. These were used to identify shortfalls and take action.
“Quality assurance systems were effective, and we saw a number of audits, checks and monitoring systems including, the environment, medicines, training and infection control.” from the report
Inspectors raised no specific concerns in this report.
- 01What rehabilitation goals would you set with my relative, and how would you measure progress?
- 02How would you support my relative's particular communication needs and preferences?
- 03How would you involve our family in care reviews and decisions?
- 04What nursing support is available if my relative becomes unwell, and how quickly would healthcare professionals be contacted?
- 05How do you make sure medicines, risk assessments and care plans remain accurate and up to date?
This was an unannounced first inspection covering all five key questions, the care provided, the premises and infection prevention and control. This explanation was written from the published report of 2 June 2023 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 Ullswater Cottage
Each visit the CQC has published, newest first, back to the day the home was registered.
- June 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2021
Registered with the Care Quality Commission on 17 December 2021.
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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28 live-in carers within about an hour of West Sussex
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 £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.