Background to this inspection
Updated
14 March 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 team consisted of one inspector and one inspection manager.
Service and service type:
The service is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. There were seven people living in the service at the time of our inspection visit. The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection:
This was an unannounced inspection.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse and we sought feedback from the local authority. Prior to the inspection, the provider also 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 used all this information to plan our inspection.
During the inspection we spoke with two members of staff, including the registered manager and a support worker. We spoke with three people who lived in the service and two relatives, and looked at three people’s care records in detail. In addition, we looked at a sample of medicines administration records (MARs), and further records relating to the running of the home.
Updated
14 March 2019
About the service: The service provided accommodation for up to eight persons who require nursing or personal care, all of whom were living with learning difficulties.
People’s experience of using this service:
• The provider had not always identified areas for improvement and development in the service. There were not robust governance systems in place.
• The home environment was not always kept safe and properly maintained.
• Whilst the majority of care plans and support provided met people’s needs, there were gaps in one person’s care provision. They did not always receive thorough individualised care.
• Risks associated with people’s healthcare needs had been identified and people told us they felt safe and well looked after. Staff administered medicines as prescribed.
• Staff were kind and caring and supported people to be as independent as possible. Staff asked for consent before delivering care.
• People had access to healthcare professionals when required.
• Staff were competent and knew how to care for people and received training in their roles.
• Staff supported people to have a choice of healthy balanced meals and enough to drink.
• The registered manager supported an effective staff team, who communicated well. The registered manager was approachable and available to people and staff.
• The service had been developed and designed in line with the values that underpin the CQC guidance, Registering the Right Support, and other best practice guidance.
• We found the service had deteriorated in some areas and met the characteristics of a “Requires Improvement” rating in Safe, Responsive and Well-led, which meant it was rated “Requires improvement” overall.
Rating at last inspection: Good (Published 30 August 2016)
Why we inspected: We inspected this service in line with our inspection schedule for services currently rated Good.
Follow up: We will continue to monitor this service according to our inspection schedule.