Updated 14 September 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.
This inspection took place on 14 August 2018 and was unannounced. This meant nobody at the service knew we were coming. This was the first inspection of Chatsworth Grange since the registered provider changed in June 2017.
The inspection team consisted of two adult social care inspectors, a specialist advisor and an expert-by-experience. The specialist advisor had clinical experience of nursing care. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert-by-experience had experience in caring for older people and people living with dementia.
Before this inspection we reviewed information available to us about the service. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed safeguarding alerts and notifications submitted to us by the service. A notification is information about important events that the registered provider is legally required to send us. For example, where a person who uses the service suffers a serious injury. We took this information into account when we inspected the service.
Before this inspection we contacted social care commissioners who help arrange and monitor the care of people living at Chatsworth Grange, community healthcare professionals who visited people living at Chatsworth Grange and Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. No concerns were raised by any of these organisations about the care and support provided to people living at Chatsworth Grange.
During this inspection we spoke with eight people living at Chatsworth Grange and 12 of their relatives. We also spoke with 17 members of staff which included six care assistants, four nurses, three domestic assistants, the cook, the maintenance person, an activity coordinator and the registered manager.
People who lived at Chatsworth Grange used a variety of ways to communicate. During our inspection, we used a method called Short Observational Framework for Inspection (SOFI). This involved observing staff interactions with people in their care. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.
We looked at five people's care records, a selection of medication administration records and three staff files which included recruitment checks, supervisions, appraisals and training records. We also looked at other records relating to the management of the service, such as quality assurance audits.
We spent time observing the daily life in the service. We observed care and support provided in communal areas and we looked around the building to check environmental safety and cleanliness. This enabled us to determine if people received the care and support they needed in an appropriate environment. With their permission we also looked in several people's bedrooms.