Archived: Plantation View

Updated 14 June 2018

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.

We undertook an unannounced comprehensive inspection of Plantation View on 16 May 2018. This inspection was unannounced which meant no one at the service knew we were coming.

The inspection was undertaken by one adult social care inspector and an expert by experience, with expertise in the care of older people. An expert by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to the inspection visit we gathered information from a number of sources. We looked at the information received about the service from notifications sent to the Care Quality Commission by the registered provider. We also spoke with the local authority commissioners, contracts and safeguarding officers and Healthwatch (Doncaster). Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used information the registered provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Throughout the inspection we also spent time in the communal areas of the home observing how staff interacted with people and supported them.

We spoke with nine people who used the service, three of their relatives, the registered manager and staff members including care team managers, care workers and ancillary staff. We also spoke with two visiting healthcare professionals.

We looked at four care plans, medicine records for three people, staff duty rosters and records associated with the monitoring of the service, including audits.

Updated 14 June 2018

This inspection took place on 16 May 2018 and was unannounced. This means prior to the inspection people were not aware we were inspecting the service on that day.

Plantation View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Plantation View is a purpose built care home situated in the Cantley area of Doncaster. The home accommodates up to 27 older people that require assistance with their personal care needs. On the day of our inspection there were 26 people living in the home.

There was a registered manager in place for the service. A registered manager is a person who has registered with CQC 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 last carried out an unannounced comprehensive inspection of this service on 4 April 2016. At that inspection the home was rated as Good. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Plantation View on our website at www.cqc.org.uk.

At this inspection we found the service remained Good. However we have rated the ‘Safe’ domain as ‘Requires Improvement’. This was because we found staffing levels were not always sufficient to ensure people were supervised, had their privacy and dignity maintained and were provided with a programme of social activity. We found people’s care needs were met in a timely way, but this meant staff were very busy carrying out care tasks so they had very little time to socialise and spend quality time with individual people.

Risks to people were routinely assessed with clear plans to keep people safe. Where incidents had occurred, staff responded appropriately and the registered provider analysed incidents so that further occurrences could be prevented. Staff understood their roles in safeguarding people from abuse.

People's medicines were managed and administered safely. The registered provider had carried out appropriate checks on staff to ensure that they were suitable for their roles.

People were supported to access the healthcare they needed and staff worked alongside relevant agencies to meet people's health needs. People received a thorough assessment before going to live at the home and individual needs and choices were documented and met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People told us they enjoyed the food and it met their dietary needs. People were supported by staff that had received appropriate training to carry out their roles with confidence. People were supported by kind and caring staff that they got on well with.

There was no activity worker which meant people only had access to a very limited range of social activities. People's wishes regarding end of life care were documented.

People were informed about how to raise a complaint and the registered provider regularly asked people for feedback. Regular audits were undertaken to measure the quality of the care that people received. There was clear leadership at the home and staff told us they felt supported by the management team.