Updated 8 June 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 one inspector.
Service and service type:
Netherlands is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Netherlands does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The registered provider employed a manager who was registered with the Care Quality Commission. This means that they and the registered provider are legally responsible for how the home is run and for the quality and safety of the care provided.
Netherlands worked within the principles and values that underpin Registering the Right Support and other best practice guidance. This ensured that people could 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.
Notice of inspection:
This inspection was announced. We gave the registered manager a short period of notice because people who live there were often out of the home. We wanted to be sure they were offered the opportunity to participate in the inspection.
What we did:
Before the inspection, the registered provider completed a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the home, what the home does well and improvements they plan to make. The registered provider returned the PIR and we took this into account when we made our judgements in this report.
We reviewed other information that we held about the home such as notifications. These are events that happen in the home that the registered provider is required to tell us about. We considered the last inspection report and we had contact with commissioners who had a contract with the registered provider.
We spoke with six people who lived in the home and observed how staff interacted with them. We also spoke with the registered manager and two of the care staff.
We looked at the care records for three people and we looked around the premises with one person who lived there. We also looked at records in relation to the management of the home such as quality assurance checks, staff training and recruitment records, safeguarding information and accidents and incident information.