Updated 27 March 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 was carried out by two inspectors.
Service and service type:
Sistine Manor 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. The service supports people with learning disabilities or autistic spectrum disorder.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service did not have a manager registered with the Care Quality Commission. They had made attempts to recruit into the position. At the time of the inspection the deputy manager had recently commenced acting up to the managers role with a view to them taking on the role.
Notice of inspection:
The inspection was unannounced.
What we did:
¿Prior to the inspection we requested and received a Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well and improvements they plan to make. This information helps support our inspections.
¿We reviewed notifications and any other information we had received since the last inspection. A notification is information about important events which the service is required to send us by law.
¿During the inspection we spoke with the acting manager and deputy manager, two care staff, the cook and four people who used the service.
¿Some people who used the service were unable to communicate verbally with us. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
¿We walked around the home to review the environment people lived in.
¿We looked at six people’s care records, including medicine administration records and mental capacity assessments.
¿We reviewed three staff recruitment files, five staff supervision records and a range of health and safety records which included fire records, servicing of equipment such as gas, portable appliances and water checks.
¿After the inspection we sought feedback from community professionals who had knowledge of the service.
¿We contacted relatives after the inspection. We received email responses from three relatives to get their view on the care provided.
¿We requested additional evidence to be sent to us after our inspection, such as the training matrix, audits and surveys. This was received and the information was used as part of our inspection.