Background to this inspection
Updated
12 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 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.
The inspection took place on the 15 January 2016 and was unannounced. The inspection team consisted of one adult social care inspector.
Before our inspection, we reviewed all the information we held about the home. We asked the provider to complete a provider information return [PIR] which helped us to prepare for the inspection. This is a document that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.
We spoke with the local authority to gain further information about the service.
We spoke with six people who used the service and 3 relatives. We spent time observing staff supporting people.
We spoke with two care workers, the deputy manager, the registered manager, a cook and a domestic assistant. We looked at documentation relating to people who used the service, staff and the management of the service. We looked at three people’s care and support records, including the plans of their care. We saw the systems used to manage people’s medication, including the storage and records kept. We also looked at the quality assurance systems to check if they were robust and identified areas for improvement.
Updated
12 March 2016
The inspection took place on 15 January 2016 and was unannounced. The home was previously inspected in January 2014 and the service was meeting the regulations we looked at.
Overdale is a care home providing personal care for up to 25 people. The home is situated in the Nether Edge area of Sheffield, close to bus routes and local amenities. It is a detached villa set in pleasant gardens. Accommodation is on three floors, accessed by a lift. Bedrooms are single and some have en-suite facilities. Communal lounges and a dining room are provided.
The service had a registered manager in post at the time of our inspection. 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.
We saw risk assessments in place regarding risks associated with people’s care. However, some risks such around medication and weight loss had not been identified.
The service had policies in place to manage medicines, but they did not include medicines prescribed on an ‘as and when’ basis. We saw medicines were stored safely and temperatures were taken of the room and fridge where they were stored.
We looked at policies and procedures in place to safeguard people from abuse and found them to be informative and they offered guidance to staff.
We saw the service had a staff recruitment system in place which had been followed effectively.
We looked at training records and found staff attended training in mandatory subjects such as first aid, safeguarding, moving and handling and food hygiene. Staff told us told us that training was provided face to face with some practical sessions.
We found the service to be meeting the requirements of the Mental Capacity Act 2005. Staff had received training in this area and were knowledgeable about the subject. We observed staff assisting people throughout the day of our inspection and found staff offered choices and helped people to make a decision. We saw the person’s choice was respected.
People were offered a choice of a nutritious meal and we saw drinks and snacks were served at regular intervals throughout the day. Catering staff were aware of people’s individual diets and provided appropriate alternatives where required.
People were supported to maintain good health and had access to healthcare services as required. We looked at care plans and found evidence that other professionals were involved in people’s care.
We observed staff working with people and found they took time and were supportive. They ensured people’s privacy and dignity was maintained by knocking on bedroom doors before entering and checking if everything was alright.
We looked at care plans and observed staff supporting people and found that people received personalised care which was responsive to their individual needs.
There was a system in place to raise concerns and people felt they would be listened to if they had a problem and it would be rectified.
Leadership was evident at all levels and staff appeared committed to providing a high quality service. Staff knew what was expected of them and when they needed to raise something with the management team.
The service had a quality assurance policy in place to maintain and improve standards which included gathering feedback from people. People we spoke with confirmed that they had the opportunity to comment about the service via a questionnaire and in residents meetings.