Background to this inspection
Updated
18 August 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 27 June 2017 and was unannounced. The inspection was undertaken by two inspectors 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.
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law.
We did not ask the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
As part of the inspection we spoke with five people, four members of staff, two relatives, the registered manager and the regional manager. We received written feedback from six relatives after the inspection visit. We looked at a range of records about people’s care and how this was managed. We looked at three care plans, six medicine administration records, risk assessments, accident and incident records, complaints records, and five recruitment records, a selection of policies and internal and external audits that had been completed.
This was the first inspection since the service had registered with the Care Quality Commission.
Updated
18 August 2017
This inspection took place on the 27 June 2017 and was unannounced.
Cossins House Care Home is registered to provide the regulated activity of accommodation for persons who require personal care to a maximum of 24 people.
A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service provided outstanding end of life care. People were cared for by attentive staff, led by an experienced and compassionate registered manager and were supported by palliative care specialists. Staff ensured people had their final wishes met in relation to spending their final days at Cossins House in a peaceful and tranquil setting. Services and equipment were provided as and when needed. This ensured that people experienced a comfortable and dignified pain free end of life care.
Staff were especially compassionate and people and their relatives were extremely complimentary about the care they received. Relatives especially told us that they felt their family members were truly loved and cared for by all the staff.
People and their relatives told us they felt the home was safe. They told us that staff were kind and they had no concerns about being safe. Staff had received training in relation to safeguarding and were aware of the processes to be followed when reporting suspected or actual abuse. The provider had carried out appropriate recruitment checks so as to ensure that only suitable staff worked with people at the home. Medicines were managed in a safe way and recording of medicines was completed to show people had received the medicines they required. Risks to people had been identified and documentation had been written to help people maintain their independence whilst any known hazards were minimised to prevent harm.
There was sufficient staff on duty at all times to ensure that people’s assessed needs could be met. Staff had a good understanding about people’s life histories, their preferences and how to attend to the needs of people.
Staff had received training, supervisions and annual appraisals that helped them to perform their duties. Staff had received all the mandatory training required and other training that enabled them to provide effective care to people.
Where there were restrictions in place, staff had followed the legal requirements to make sure this was done in the person’s best interests. Staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure decisions were made for people in the least restrictive way. The registered manager logged any accidents and incidents that occurred and discussed these with staff so lessons could be learnt to help prevent a repeat of these.
Staff supported people to eat a range of freshly prepared foods. People with specific dietary requirements were provided with appropriate food. People had access to all external healthcare professionals and their involvement was sought by staff when appropriate to help maintain good health.
Staff showed kindness and compassion and people’s privacy and dignity were upheld. People were able to spend time on their own in their bedrooms, could freely access all communal areas of the home and their personal care needs were attended to in private. People took part in a variety of activities that interested them. People’s relatives and visitors were welcomed and there were no restrictions of times of visits.
Documentation that enabled staff to support people and to record the care they had received was up to date and regularly reviewed. People and their relatives were involved in the reviewing of their care.
A complaints procedure was available for any concerns. This was displayed at the service. No complaints had been received, but the registered manager and staff had received manner letters complimenting them on the care they provide to people.
Staff and the provider undertook quality assurance audits to ensure the care provided was of a standard people should expect. Any areas identified as needing improvement were attended to by staff. People, relatives and associated professionals had been asked for their views about the care provided and how the home was run. Regular resident and relatives and staff meetings took place.
The registered manager had achieved accreditation from the Gold Standard Framework and was an ambassador for them. The registered manager worked alongside other external agencies to promote end of life care within the care sector. Representatives from other care services had visited the home to learn more about end of life care from the registered manager.