Background to this inspection
Updated
12 July 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 team:
The inspection was undertaken by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
This inspection site visit took place on the 25 June 2019.
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.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority contracts, safeguarding and quality improvement who work with the service. We used 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 spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with four members of staff, a visiting professional, a volunteer and the registered manager.
We reviewed a range of records. This included two people’s care records and medication records. We looked at a variety of records relating to the management of the service.
Updated
12 July 2019
About the service
Sloe Hill Residential Home provides support with personal care for older people, some of whom live with dementia. Sloe Hill Residential Home accommodates 28 people in one adapted building. At the time of the inspection there were 19 people receiving personal care.
People’s experience of using this service and what we found
People felt safe having their care provided by staff at the service. Risk assessments were in place to identify possible risks to people`s health and well-being. However, we found for one person appropriate, risk assessments were not in place.
The home remained clean throughout the inspection and staff received appropriate infection control training. However, cleaning schedules were not in place to allow the registered manager to monitor infection control appropriately.
The provider had not ensured the environment was dementia friendly to promote people’s wellbeing. We have made a recommendation about dementia friendly environments.
Staff understood how to keep people safe and report any concerns.
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 in the service supported this practice.
Staff worked in conjunction with guidance from external health and social care professionals across different organisations to help promote people’s well-being.
Staffing levels were reviewed to make sure they were satisfactory to meet the needs of the people using the service. Medicines were safely managed.
Staff knew the people they supported. Staff received regular training, supervisions and appraisals. People were supported to maintain their independence. Staff promoted people’s food and drink intake.
Staff promoted and maintained people’s privacy and dignity. People had developed good relationships with staff who had a good understanding of their individual needs and preferences.
People and their relatives told us staff were kind and caring. People`s personal information was kept confidential. People and their relatives were involved in discussions about their care and felt that staff and the registered manager knew them well. People told us if they had to raise any concerns, they would be confident they would be listened to and the concern resolved where possible.
Staff felt supported. Audits were carried out to monitor the service. The registered manager notified the CQC of incidents that they were legally obliged to.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 29 June 2018) and there was a breach of regulation. 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.
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.