Background to this inspection
Updated
26 May 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Cossins House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Cossins House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since it registered with CQC. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and one family member. We also spoke with four members of staff including the registered manager. We reviewed a range of records. This included six people’s care records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with eleven family members about the care their relatives received, as well as two healthcare professionals. We continued to seek clarification from the provider to validate evidence found. We requested further documents to support our evidence.
Updated
26 May 2022
About the service
Cossins House is a residential care home providing personal care to up to 24 people. The service provides support to older people and those who live with dementia. At the time of our inspection there were 22 people using the service. Cossins House is a renovated property set in large grounds. People’s bedrooms are on two floors, with communal areas on the ground floor.
People’s experience of using this service and what we found
Staff understood their responsibilities in safeguarding people from abuse and knew how to report any concerns they had. Medicines were managed safely. The home was clean and hygienic and staff maintained effective systems of infection prevention and control (IPC). The provider exercised safe recruitment practices.
Incidents had been reported to CQC and the local authority where necessary, which ensured that adverse events were investigated and lessons learned. Assessments had been carried out to identify any potential risks to people and measures put in place to mitigate these.
There were enough staff on each shift to keep people safe and meet their needs. People told us they did not have to wait when they needed support and did not feel rushed when staff provided their care. Staff received an induction when they started work and had access to the training they needed for their roles. Staff were expected to meet regularly with their managers for supervision and appraisal.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to maintain good health and to access healthcare services when they needed them. They received person centred care, planned and reviewed to meet their individual needs.
People told us the home had a friendly atmosphere and said they got on well with the staff who supported them. We saw how staff engaged positively with the people they supported during our inspection and treated them with kindness and respect. People had opportunities to take part in a wide range of activities, which were planned to meet their needs and interests.
Communication amongst the staff team was effective, which helped ensure people received safe and effective care. Staff were well-supported by their managers and colleagues and felt valued for the work they did. Staff and managers had developed effective working relationships with other professionals involved in people's care and implemented any professional guidance effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 07 April 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 18 August 2017.
Why we inspected
This inspection was prompted by a review of the information we held about this service. 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.