2 August 2023
During an inspection looking at part of the service
About the service
Cockington House is a residential care home providing personal care to up to 6 people living with a learning disability. Accommodation is provided over 2 floors. A communal lounge with a dining room, and kitchen are based on the ground floor. At the time of our inspection there were 4 people using the service.
People’s experience of using this service and what we found
People were not supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care:
Care was not always person-centred. Staffing levels were not always adequate to ensure people received the right care. Staff ensured they respected people’s dignity, privacy and human rights. People were supported by caring staff.
Right Culture:
Governance systems were not effective, and the provider lacked an oversight of the service. Concerns had been raised but were not always investigated and action had not been taken to improve the service. People, staff and relatives had not been asked to provide feedback about their views. There was a new management team in place, who promoted a positive culture and led by example.
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 30 November 2017).
Why we inspected
We received concerns in relation to a closed culture and restrictive practice being used. Concerns were shared about restraint being used by untrained staff, People’s health care needs not being appropriately met and staffing levels which were not safe. Also, we heard about concerns of the management of incidents and the management of the service. 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.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cockington House on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to safe care and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.