Updated 3 September 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
This inspection was carried out by one inspector.
Service and service type
1 St Quintin Avenue 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 manager was registered with the Care Quality Commission. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons are legally responsible for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the provider a days’ notice of the inspection site visit because it is a small service. We needed to be sure that someone would be in to support us with the inspection process.
What we did before the inspection
Before the inspection took place, we reviewed information we held about the service. This included notifications which providers or others send us about certain changes, events or incidents that occur and which affect the service or the people who use it. We also reviewed the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We used a number of different methods to help us understand the experiences of people being supported by the service. Not everyone was able to provide feedback about their direct experience of using the service as they were unable to express themselves verbally. We spoke with two people using the service and a relative. We spoke with two people using the service and a relative. We spent time observing interaction between people and the staff who were supporting them. We spoke with the registered manager, a deputy manager, two members of staff on duty and a visiting regional manager. We looked at people's care records and related documentation and correspondence. We looked at supervision, training and appraisal records, policies and procedures, three staff files, as well as records relating to the management of the service.
Following the inspection, we contacted but did not hear back from a representative from the local authority commissioning service. We received feedback about the service via email from a local authority quality monitoring representative.