Updated 22 March 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
We last inspected the service in October 2013. At that inspection we found the service was compliant with the essential standards we inspected.
The inspection took place on 29 January 2016. We gave the registered manager 48 hours' notice because the location provides a domiciliary care/supported living service and we needed to make sure someone would be in the office. The inspection was completed by one inspector.
Prior to the inspection we reviewed the records we held about the service, including the details of any safeguarding events and statutory notifications sent by the provider. Statutory notifications are reports of events that the provider is required by law to inform us about.
We contacted representatives of the local authority commissioning teams and external health professionals and received feedback from one local authority representative and a health professional about the service. During the inspection we spoke with the registered manager and other members of the management team and two people using the service about the support provided by the service. Following the inspection we spoke with three family members of people who use the service. We also spoke with three staff. We tried to contact three people who use the service but were unsuccessful.
We reviewed the care plans and associated records for five people, including related risk assessments and reviews. We examined a sample of other records to do with the operation of the service including staff records, complaints, surveys and various monitoring and audit tools. We looked at the recruitment records for the five most recently appointed staff.