Background to this inspection
Updated
31 October 2017
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.
The inspection took place on 15 and 19 September 2017 and was unannounced. This meant that the staff and provider did not know we were visiting. The inspection was carried out by one inspector.
Before the inspection the provider completed a Provider Information Return (PIR). The PIR is a form that the provider submits to the Commission which gives us key information about the service, what it does well and what improvements they plan to make. We reviewed notifications and any other information we had received. A notification is information about important events which the service is required to send us by law.
We spoke with three people living at the home who were receiving care and support, two relatives, the registered manager and four care staff. We reviewed three staff recruitment files and two care plans and cross referenced practice against the provider’s own policies and procedures. On day one of the inspection we met a nurse and physiotherapist who were visiting a person.
We also contacted social care and healthcare professionals with knowledge of the service. This included people who commission care on behalf of the local authority and health or social care professionals responsible for people who lived in the home.
Updated
31 October 2017
Saxby is a care home for adults who have learning disability; some people may also have a physical disability. It is registered to provide accommodation for four people. At the time of our inspection three people lived at the home.
This inspection took place on 15 and 19 September 2017. It was an unannounced visit to the service. This was the first time the service had been inspected since the provider had managed the service.
The service had a registered manager in post. 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.
We received positive feedback about how kind and caring the staff were to people. People told us they liked living at the care home. Comments from relatives included, “I am not worrying about anything, as I know he is looked after”, “The staff really do care” and “Staff genuinely care and are interested in the guys here.”
People are 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.
We observed people laughing and joking with staff in a way that was respectful. People had developed good relationships with peers and staff.
Risk assessments and care plans were person-centred and reviewed regularly. Risks were assessed for a variety of topics including falls.
People had access to healthcare services, and any changes in health were quickly reported and responded to. People’s medicines were stored safely and were administered correctly.
People had access to a range of activities. People were supported to attend social clubs.
Systems were in place to ensure people who lived at the home were consulted about the design of the building and decisions about their care and support. The staff supported people to maintain important family relationships. Staff were knowledgeable about people likes and dislikes.