Cottingley Hall Nursing Home is situated between Saltaire and Bingley on the outskirts of Bradford and is part of BUPA Care Homes (BNH) Limited. The home is registered to provide nursing and personal care services for up to 40 people. A total of 31 people were living at Cottingley Hall at the time of the inspection.

There was a registered manager 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.

Cottingley Hall is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This inspection took place on 31 October 2018 and was unannounced. Our last inspection took place on 25 February 2016 and at that time the service was rated ‘Good’ overall with no breaches or regulations.

Policies and procedures ensured people were protected from the risk of abuse and avoidable harm. Staff told us they had regular safeguarding training and were confident they knew how to recognise and report potential abuse. Where concerns had been brought to the registered manager’s attention, they had worked in partnership with the relevant authorities to make sure issues were fully investigated and appropriate action taken to make sure people were protected.

The registered manager and staff were observed to have positive relationships with people living in the home. People were relaxed in the company of staff and there were no restrictions placed on visiting times for friends and relatives.

We found staff were respectful to people, attentive to their needs and treated people with kindness and respect. The atmosphere in the home was calm and relaxed and from our observations it was clear staff knew individual people well and were knowledgeable about their needs, preferences and personalities.

Appropriate Deprivation of Liberty Safeguard (DOLS) applications had been made to the local authority and people's mental capacity to make their own decisions had been assessed and recorded in line the requirements of the Mental Capacity Act 2005. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Each person had a care plan that was person centred and sufficiently detailed to ensure staff provided appropriate care and treatment. People’s care and support was kept under review and, where possible they were involved in decisions about their care. Risks to people’s health and safety had been identified, assessed and managed safely. Relevant health and social care professionals provided advice and support when people’s needs changed.

There were enough staff to support people when they needed assistance and people received support in a timely and calm manner. There was a robust recruitment procedure to ensure new staff were suitable to care for vulnerable people and arrangements were in place to make sure staff were trained and supervised.

Medicines were managed safely and people had their medicines when they needed them. Staff administering medicines had been trained and supervised to do this safely.

Appropriate aids and adaptations had been provided to help maintain people’s safety, independence and comfort. People had arranged their bedrooms as they wished and had brought personal possessions with them to maintain the homeliness.

There were a range of leisure activities for people to participate in, including both activities and events in the home and in the local community and it was apparent people enjoyed a full and active social life. Peopl

Cottingley Hall Nursing Home is situated between Saltaire and Bingley on the outskirts of Bradford and is part of BUPA Care Homes (BNH) Limited. The home is registered to provide nursing and personal care services for up to 40 people. A total of 32 people were living at Cottingley Hall at the time of the inspection.

We inspected Cottingley Hall on the 25 February 2016 and the visit was unannounced. Our last inspection took place in January 2014 and at that time the service was meeting the regulations we looked at.

There was a registered manager 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 home had a safeguarding policy in place which made staff aware of their roles and responsibilities. We found staff knew and understood how to protect people from abuse and harm and kept them as safe as possible. People told us they felt safe because the staff were caring and because the registered manager listened to them and acted quickly if they raised concerns.

There were enough staff on duty to meet people’s needs and staff had undertaken training relevant to their roles. Staff told us communication within the home was good and staff meetings were held to keep them up to date with any changes in policies and procedures or anything that might affect people’s care and treatment.

The home was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and acting within the legal framework of the Mental Capacity Act 2005 (MCA).

The activities plan for the home showed that daily activities took place and people were encouraged to participate in local community events.

People told us they enjoyed the food and we saw a wide range of food and drinks were available. We saw people’s weight was monitored to ensure they had sufficient to eat and drink.

We saw the complaints policy had been available to everyone who used the service. The policy detailed the arrangements for raising complaints, responding to complaints and the expected timescales within which a response would be received.

The care plans in place were person centred and contained individual risk assessments which identified specific risks to people health and general well-being, such as falls, mobility, nutrition and skin integrity.

We saw arrangements were in place that made sure people's health needs were met. For example, people had access to the full range of NHS services. This included GPs, hospital consultants, community health nurses, opticians, chiropodists and dentists. We found medication policies and procedures were in place and staff responsible for administering medicines received appropriate training.

There was a quality assurance monitoring system in place that was designed to continually monitor and identified shortfalls in service provision. Audit results were analysed for themes and trends and there was evidence that learning from incidents took place and appropriate changes were made to procedures or work practices if required.

People who used the service told us they enjoyed living at Cottingley Hall and were complementary about the care provided by staff. One person said "I enjoy living at the home, the staff are first class and there are plenty of activities going on during the day if you want to join in.” Another person said "I chose to live at Cottingley Hall because it has a reputation in the local community for providing quality care and I have not been disappointed." We spoke with four visitors and they also told us they were pleased with the standard of care and facilities provided by the service.

The staff we spoke with demonstrated a good knowledge of people's needs and were able to explain how individuals preferred their care and support to be delivered. We found the atmosphere within the home was warm and friendly and we saw staff approached individual people in a way which showed they knew the person well and knew how best to assist them.

We found people were able to make decisions in relation to their daily lives. Where people did not have capacity to make decisions for themselves, systems were in place to ensure any decisions made were in their best interests. In addition, we found care was planned and people’s needs assessed so appropriate care could be delivered.

We also found the service had quality assurance systems in place which monitored the quality of the service provided and ensured compliance with the essential standards of quality and safety.

During the visit we had the opportunity to speak with six people who used the service. All told us they had received “very good care” and the care was “marvellous”. People told us staff explained their actions and asked for their agreement when helping with personal care. They told us they made decisions and choices about their daily lives, such as whether to take part in the organised activities in the home.

At lunchtime we heard people being offered choices and people said the food was good, two people told us it “tasted good”. There were three communal areas for people to use, and a range of activities were available for people throughout the day. We saw people were able to stay in their rooms if they preferred.

People told us the staff were “caring” and were always available to provide whatever help was needed. They said the staff were respectful, listened to them and took notice of what they said People said they had nothing to complain about but said they felt confident any concerns they had would be addressed by the staff.

We talked to four people who told us that they like living at Cottingley Hall. They said that staff were very helpful and nothing is too much trouble. People said that the accommodation is good and that they like the gardens.

People who use services at the home told us that they felt safe and enjoyed living at the home. The majority of people we spoke to told us they were happy with the care and treatment being provided at the home. However one person said ‘they didn’t like using their buzzer because staff are busy. They always respond to the buzzer but say they will be with you in a minute. This is usually quite a long wait’.

The visitors we spoke to told us they could visit the home at any time and they felt welcomed and involved. One visitor told us that they had visited the home unannounced in order to assess its suitability for meeting their relative’s needs. The information provided and the staff’s reception enabled them to make an informed choice about taking up a place in the home and they have been impressed with the care and staff and rated the overall service as excellent.