Background to this inspection
Updated
21 May 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 two inspectors.
Service and service type:
Port Regis 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 the inspection.
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:
The inspection was unannounced.
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. We assessed the information we require providers to send us at least once annually to give key information about the service, what the service does well and improvements they plan to make. We used this information to plan our inspection.
During the inspection we reviewed six people’s care records and risk assessment. We looked at medicine records, audits and quality assurance reports, staff and resident meetings, records of accidents, incident and complaints and recruitment records.
We spoke with the registered manager, the provider, two deputy managers, four care staff and one senior carer and two domestic staff. Some people living at Port Regis were not able to fully share with us their experience of living at the service. Therefore, we spent time observing staff with people in the communal areas during the inspection. We spoke with two people and one relative during the inspection. Before the inspection we spoke with one health professional and one during the inspection.
Updated
21 May 2019
About the service:
Port Regis is a care home that provides personal or nursing care for up to 70 older people who may be living with dementia. The service has two units, the main house and the west wing. There were 25 people living in each unit at the time of the inspection.
People’s experience of using this service:
People told us they felt safe living at Port Regis, people appeared to be happy and relaxed during the inspection.
Potential risks to people’s health, welfare and safety had been assessed and there was guidance in place to mitigate the risks to keep people safe. People were supported to take positive risks to remain as independent as possible.
Each person had a care plan that contained details about their choices and preferences, which were reviewed regularly.
People received their medicines as prescribed to keep them as healthy as possible.
Staff monitored people’s health and referred them to health professionals when required. The guidance received was followed and people’s health had improved. People told us they had a choice of meals and they enjoyed their food.
Accidents and incidents were recorded and analysed to identify any patterns and trends, action had been taken and there had been a reduction in incidents.
Checks and audits were completed, when shortfalls were identified action was taken to rectify them and improve the service.
People were supported by enough staff to meet their needs, who had been recruited safely.
People were encouraged to make decisions about their care, when this was not possible decisions were made in people’s best interest with people who knew them well.
Complaints had been investigated following the provider’s policy.
People knew the provider and registered manager, they were comfortable going to the office and chatted with them when they saw them around the service.
We observed people being treated with respect and their dignity was maintained.
Rating at last inspection:
Requires Improvement (report published 16 May 2018).
Why we inspected:
This was a planned inspection based on the rating at the last inspection. We found the service now met the characteristics of Good in all areas. The overall rating is now Good.
Follow up:
We will continue to monitor the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk