Background to this inspection
Updated
4 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.
This inspection took place on 27 November 2015 and was unannounced. The inspection team was made up of one inspector.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service, including the notifications they had sent us. A notification is information about important events which the provider is required to send to us.
During the inspection we spoke with eight people who used the service, three relatives, three care staff, a visiting healthcare professional and the registered manager. We carried out observations of the interactions between staff and the people who lived at the home and also carried out observations using the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.
We reviewed the care records and risk assessments for four people, checked medicines administration and reviewed how complaints were managed. We also looked at six staff records and reviewed information on how the quality of the service was monitored and managed.
Updated
4 March 2016
This inspection took place on 27 November 2015 and was unannounced. The home provides accommodation and personal care for up to 37 older people, some of whom may be living with dementia. On the day of the inspection, there were 31 people living in the home.
The service has a registered manager. 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.
People were safe and there were systems in place to safeguard people from the possible risk of harm. There were risk assessments that gave guidance to staff on how risks to people could be minimised.
The service followed safe recruitment procedures and there were sufficient numbers of staff to keep people safe and meet their needs. There were safe systems for the management of people’s medicines and they received their medicines as prescribed.
People were supported by staff who were trained, skilled and knowledgeable on how to meet their individual needs. Staff received regular supervision and support, and were competent in their roles.
Staff knew how to support people who lacked mental capacity to make decisions for themselves and had received training in Mental Capacity Act (2005) and the associated Deprivation of Liberty Safeguards. People’s nutritional needs were met and they were supported to have enough to eat and drink. People were also supported to access other health and social care services when required.
People were treated with respect and their privacy and dignity was promoted. People were involved in making decisions about the care and support they received.
People had their care needs assessed, reviewed and delivered in a way that mattered to them. They had care plans that took account of their individual needs, preferences and choices. They were supported to pursue their social interests and hobbies and to participate in activities provided at the home. There was an effective complaints procedure in place.
There were systems in place to seek the views of people, their relatives and other stakeholders. Regular checks and audits relating to the quality of service delivery were carried out. There were effective systems in place to monitor the quality of the service.