About the service Freehold Cottage is a residential care home providing accommodation and personal care to up to 6 people. The service accommodates people who need support with their mental health. At the time of our inspection there were 6 people using the service. Freehold Cottage is a single building spread over 2 floors.
People’s experience of using this service and what we found
People were cared for safely. Medicines were administered as prescribed and people were supported to self-administer where appropriate. Staff understood the importance of safeguarding and whistleblowing and knew how to report and escalate concerns. Staff were recruited safely, and the service had a robust approach to infection prevention and control. Risk assessments were comprehensive, reviewed regularly and reflected the needs of people using the service.
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. People’s needs were assessed, and they were supported to maintain a healthy lifestyle. Staff had received training that was suitable for their role, but some training records were out of date. The registered manager rectified this during the inspection. Staff received regular supervision and completed a thorough induction program. People were supported to achieve goals and outcomes that were meaningful to them.
People were supported by staff who understood and knew their needs well. Relatives praised the staff approach and the care that was being provided. People spoke positively about the staff who supported them, and staff told us that they enjoyed working in a small, close knit team. Staff promoted wellbeing amongst the people who used the service and understood how to provide care that promoted privacy, dignity and independence.
People were supported to attend activities in the local community and within the service. People had control over their lives and were able to maintain relationships that were important to them. People knew how to raise concerns and the relatives of people told us that they had no concerns regarding the service. People had choice in their daily lives and staff understood the importance of effective communication.
The registered manager promoted a culture of partnership working which was embedded in the service. Systems for quality assurance were robust and staff spoke positively about the culture at the service. People and relatives spoke highly of the registered managers approach and they were actively involved in contributing to the delivery of care.
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 the service under the previous provider was good, published on 27 April 2019.
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.