Gate Cottage Rest Home

Updated 17 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

Gate Cottage Rest Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Gate Cottage Rest Home accommodates up to 13 people in an adapted house.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection:

The inspection was unannounced.

What we did:

Before the inspection we reviewed information we had received about the service. This included details about incidents the provider must notify us about. The provider had completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection:

We spoke with four people living at the home and two relatives. We spoke with three members of staff, and the registered manager. We looked at four people's care records, observed how medicines were administered and looked at medicine records. We looked at records of accidents, incidents and complaints. We looked at audits, quality assurance records, three staff files, training records and staff rotas.

Updated 17 April 2019

About the service: Gate Cottage Rest Home is a residential care home providing accommodation and support for up to 13 older people. At the time of the inspection there were 12 people living at the home.

People’s experience of using this service: The service continued to meet the characteristics for a good service in each of the key areas, more information is in the full report.

• People were receiving a personalised service. Care records included details of people’s backgrounds and identified their needs and preferences. Staff knew people well and provided person centred care that was responsive to people’s needs and wishes. People were supported to follow their interests. Any concerns or complaints were responded to quickly. People were supported with end of life care.

•There were safe systems in place to protect people from harm or abuse. Risks to people were assessed and managed. There were enough staff to care for people safely and to administer their medicines. There were high standards of cleanliness throughout the home. Incidents and accidents were monitored and lessons were learned to prevent further occurrences.

• People spoke highly of the staff and described them as, “kind,” “really caring,” and “lovely, always calm.” Staff knew people well and had developed positive relationships with them. Relatives told us they felt welcomed and involved. People were supported to express their views about their care and support. One person told us, “I feel very much in control.” Staff respected people’s privacy and supported them to remain independent.

• Staff received the training and support they needed. One staff member said, “The managers are always available and work alongside us. It is a lovely place to work.” Assessments and care plans were holistic and provided clear guidance for staff. People were supported to have enough to eat and drink and spoke highly of the food on offer saying, “There’s a good choice,” and “It’s good home cooking.” Staff understood their responsibilities for seeking consent for care and treatment and people’s rights were respected. Staff supported people to access the healthcare services they needed.

• People, relatives and staff spoke highly of the management of the home. One person said, “We are so lucky to have found this place.” A relative told us, “People here are very happy, the staff are lovely and the management is very good.” Staff were clear about their roles and responsibilities and described clear leadership and involvement with developments at the service. There were systems in place to monitor the quality of care provided and any shortfalls were identified and addressed quickly. Staff had developed positive working relationships with health care professionals.

For more details, please read the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Good- 31 May 2016

Why we inspected: This was a planned comprehensive inspection.

Follow up: Ongoing monitoring.