Background to this inspection
Updated
8 January 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 3 and 4 November 2015. Our first visit was unannounced and the inspection team consisted of two inspectors.
Before the inspection, we asked the provider to complete 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 reviewed the completed PIR and previous inspection reports before the inspection. We checked the information we held about the service including statutory notifications. A notification is information about important events which the provider is required to send us by law.
We contacted the health and social care commissioners who help place and monitor the care of people living in the home.
We spoke with 12 people who used the service, 18 staff including nursing, care, housekeeping and kitchen staff, deputy manager and the registered manager. We were also able to speak to a number of relatives who were visiting at the time.
We looked at seven records for people living in the home, five staff recruitment files, training records, duty rosters and quality audits. During our inspection we used the ‘Short Observational Framework Inspection (SOFI); SOFI is a specific way of observing care to help understand the experience of people who could not talk with us.
Updated
8 January 2016
This inspection took place on the 3 and 4 November 2015 and was unannounced.
The service is registered to provide accommodation and personal care for up to 65 older people. The people living in the home have a range of needs including people living with dementia, sensory impairments and physical disabilities. The service provides both respite and long term care. At the time of our inspection there were 59 people living there.
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.
There were appropriate recruitment processes in place and people felt safe in the home. Most staff understood their responsibilities to safeguard people and knew how to respond if they had any concerns; however some staff were not aware of whom they would contact outside of the home if they had concerns and the information about contacting outside agencies needed to be updated.
People’s health care and nutritional needs were carefully considered and relevant health care professionals were appropriately involved in people’s care, however not all staff understood why they were collecting information and information was not always being collated.
Staff were supported through regular supervisions and undertook training which focussed on helping them to understand the needs of the people they were supporting. People were involved in decisions about the way in which their care and support was provided. Staff understood the need to undertake specific assessments if people lacked capacity to consent to their care and / or their day to day routines.
People received care from staff that respected their individuality and were kind and friendly. Their needs were assessed prior to coming to the home and care plans were in place and were kept under review. The care plans could be strengthened to give a more detailed picture of the individual and more accessible to some staff.
People were cared for by staff who were respectful of their dignity and who demonstrated an understanding of each person’s needs. This was evident in the way staff spoke to people and engaged in conversations with them. Relatives commented positively about the care their relative was receiving and it was evident that people could approach management and staff to discuss any issues or concerns they had.
There were a variety of audits in place and action was taken to address any shortfalls.
Management were visible and open to feedback, actively looking at ways to improve and develop the service.