Background to this inspection
Updated
10 August 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Sandiacre Court Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Sandiacre Court Care Centre is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with five people who used the service and four relatives about their experience of care provided. We spoke with eight staff, including housekeeping and care staff, unit managers and the registered manager. We reviewed a range of records. This included four people's care records and numerous medicine records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
10 August 2022
About the service
Sandiacre Court Care Centre is a care home providing accommodation for people requiring personal care to up to a maximum 81 people. The service provides support to younger and older adults, people with dementia, people with sensory impairment and people with a physical disability. At the time of our inspection there were 43 people using the service. The accommodation is a purpose built three storey building with communal living, dining and activity areas and private en-suite bedrooms on each floor. At the time of inspection, the top floor was not in use.
People's experience of using this service and what we found
Improvements had been made in response to the previous inspection and the provider responded immediately to opportunities for improvement identified at this inspection. Following the inspection, the provider gave us assurances the issues identified had been addressed.
People, or their relatives, and staff identified positive changes had taken place recently in the service.
The electronic care record system in use was kept up to date, this ensured staff had current guidance to follow to meet peoples’ needs.
Systems were in place to manage environmental hazards to mitigate the risk of harm to people.
People received their medicines as prescribed. Cleaning schedules were implemented to ensure a good standard of hygiene in the home.
There were sufficient numbers of suitable staff available to meet people's needs.
Incidents and accidents were analysed by the provider and lessons were learnt to improve outcomes for people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 25 April 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that the provider take action to ensure equipment was maintained; review risks to people; improve safeguarding processes and provide relevant training for staff. At this inspection we found the provider had developed and implemented an action plan to meet the regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.