7 March 2022
During an inspection looking at part of the service
Cotman House is a residential care home providing accommodation for person’s needing personal care support to up to 62 people. The service provides support to adults, some living with dementia. At the time of our inspection there were 51 people using the service.
People’s experience of using this service and what we found
Systems were in place designed to keep people safe from abuse and harm. Lessons were learned when incidents had happened to reduce future occurrence. There were systems to monitor the safety of the environment to reduce risks to people and staff.
Infection control processes and procedure reduced the risks of cross contamination. People were supported to have visitors from their family and friends, which was kept under review by the registered manager along with keeping updated on government guidance and to keep people safe.
There were staff vacancies, however, systems in place reduced the risks of people not having their needs met, including the use of agency staff and ongoing recruitment.
People received their medicines when they needed them and regular monitoring by the management team supported them to identify any shortfalls and address them.
The service had systems in place to monitor the service provided, this included audits and feedback from people using the service and relatives. Where improvements were identified as needed, actions were taken. There were systems to use learning to continuously drive improvement.
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 19 January 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
The inspection was prompted in part by notification of a specific incident. Following which a person using the service died. This incident is subject to investigation. As a result, this inspection did not examine the circumstances of the incident. We received concerns in relation to staffing, visiting and the care provided. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report. We found the provider had taken action to reduce risks to people.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
You can read the report from our last comprehensive inspection and focused, by selecting the ‘all reports’ link for Cotman House on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.