Salroyd Villa

Updated 20 August 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Salroyd Villa is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this 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

This inspection was unannounced on both days.

What we did before the inspection

The provider completed a provider information return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We asked for feedback from the local authority and commissioning teams in Bradford. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with three care staff and the housekeeper.

We spoke with the registered manager, deputy manager and team leader.

We spoke with two visiting health care professionals.

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 cannot not talk with us.

We reviewed a range of records. This included four people’s care records and other records and audits relating to the management of the home.

After the inspection

We asked the registered manager to send us further information after the inspection. They were received promptly and considered as part of the inspection.

Updated 20 August 2019

About the service

Salroyd Villa is a residential home situated in Bradford. The home provides accommodation and personal care for up to 16 older people and people living with dementia. At the time of the inspection there were 13 people living at the home.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems supported this process. Improvements were needed to documentation to fully evidence compliance with the Mental Capacity Act (MCA). We have made a recommendation about updating documentation to reflect people’s involvement.

People’s care needs were assessed, and they received good quality person centred care from staff who knew them very well. People and relatives told us they thought the service was safe. They praised the standard of care at the home and described staff as kind and caring. One relative said, “They [staff] are more than caring, they go the extra mile.”

Medicines were managed safely. People’s health and dietary needs were met and there were close links with health professionals and other agencies.

Staff were knowledgeable about people and the topics we asked them about. They received a range of training, supervision and appraisal.

The registered manager provided the home with leadership and promoted a strong team culture. They maintained good oversight through communication with people and the team and a detailed schedule of audits. They were passionate about continuing to improve the quality of the service. The atmosphere in the home was warm and inclusive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 14 August 2018) and there were multiple breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Salroyd Villa Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.