- Care home
Cockington House
Report from 11 October 2024 assessment
Contents
Ratings
Our view of the service
Date of Assessment: 04 February to 17 February. The service is a residential service set over 2 floors with shared living space providing support to younger adults living with a learning disability and autistic people.
The provider did not have a good learning culture. People could raise concerns, but responses were not always robust and in line with the provider’s policy, and learning was not shared with the wider team. People were not always protected and kept safe from potential harm. We found concerns around the environment and infection prevention and control measures.
Staff did not clearly understand and manage risks and people’s care plans lacked effective guidance. Staff did not consistently manage medicines well and follow the provider’s policy guidance. Staff were not always effectively deployed to ensure people could engage with meaningful activities. Assurance processes were poor and failed to identify quality concerns and policy documents were not up to date. Managers made sure staff received training and regular supervision to maintain the quality of care people received.
The provider was found in breach of Regulation 12 Safe care and treatment at this inspection.
The provider remained in breach of Regulation 17 Good Governance at this inspection.
There were enough trained and experienced staff to meet people’s support needs. Leaders were visible and supportive. Staff felt able to speak up and give feedback. People with protected characteristics felt supported.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
People's experience of this service
People told us they felt safe, and staff were kind and respectful which was supported by relatives. One person told us, “Yes, I feel safe. The staff will help me if I need them.” A relative we spoke with said, “The staff respect [relative’s] privacy and dignity and are very attentive.” People and their relatives felt there were enough staff, but a number of people did highlight there had been a high staff turnover, but felt the home had managed this issue well. People told us about some of the activities they did and there were people at the home who regularly attended a day centre. Some people told us there were things they would like to do outside of the home that they had not done yet. Some people could not directly tell us about their experience. Where people were unable to share feedback on their experience of the care they received we spoke with relatives and used observations to corroborate evidence to assess whether they received good care. This approach showed people were not consistently engaged in meaningful activities and staff did not consistently interact with them and provide the correct level of support for people, for example, support with personal hygiene. People and relatives felt happy with the care people received and able to raise concerns. One relative said, “The home is brilliant, and [relative] is well looked after.”