Updated 11 April 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One adult social care inspector and an adult social care inspection manager visited on the first day of inspection. The inspection manager attended the inspection in an observational capacity. One adult social care inspector visited on the second day of inspection.
Service and service type:
St Anne’s Community Services – Dewsbury 2 is a residential care home. People in residential care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The first day of inspection was unannounced.
What we did:
Before the inspection, we reviewed all the information we held about the service including previous inspection reports and notifications received by the CQC. A notification is information about important events which the service is required to tell us about by law. We used this information to decide which areas to focus on during our inspection. We requested and received feedback from other stakeholders. These included the local authority contracts team, the fire service and the clinical commissioning group.
Before the inspection the provider completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection, we spoke with three people using the service. We spoke with three care workers and the registered manager. We looked at care records for two people using the service including support plans and risk assessments. We analysed two medicine administration records. We reviewed training, recruitment and supervision records for two staff including assessment of their competencies. We looked at various policies and procedures and reviewed the quality assurance and monitoring systems of the service.
Following our inspection, the registered manager sent us additional information which we reviewed and used as part of our inspection judgement. The report includes evidence and information gathered by the inspector. Details are in the key questions below.