6 January 2020
During a routine inspection
Sable Cottage is a residential care home providing personal and nursing care to 32 adults at the time of the inspection. The service can support up to 39 people.
Sable Cottage accommodates up to 39 people in one building over three floors. The top floor of the building is specialising in providing care to people living with dementia.
People’s experience of using this service and what we found
People were supported by staff that were caring, kind and treated them with dignity and respect. Sable Cottage Nursing Home provided a friendly and homely environment for people and visitors.
Staff knew about people's life history and their personal circumstances. Care plans were detailed and up to date about people's individual needs and preferences. People were encouraged to socialise with each other and some were supported to access the community.
People and relatives said the service was safe. Staff demonstrated an awareness of each person's safety and how to minimise risks for them.
There was an ongoing programme to improve the building and the general environment in which people lived. We made a recommendation that this was reviewed to ensure that the prevention and control of infection was not compromised.
People's concerns were listened and responded to. Accidents, incidents and complaints were used as opportunities to learn and improve the service.
People were supported by staff with the skills and knowledge to meet their needs. Staff had regular training and felt confident in their role. There was no clinical support available to nursing staff and so we made a recommendation to the registered provider regarding this. Staff worked in partnership with local health and social care professionals to keep people healthy.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service was well led. People, relatives and professionals gave us positive feedback about the quality of care. They said the registered manager was approachable, organised, and acted on feedback. Quality monitoring systems included questionnaires, audits, observation of staff practice and checks of the environment. There were improvement plans developed in response to findings.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.