Updated 22 May 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:
The inspection was completed by one inspector over two days and on the first day of inspection they were accompanied by an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses care services. In this instance, experience of services for older people and people living with dementia.
Service and service type:
Joseph House Nursing Home 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 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 took place on the 23 and 30 April 2019 and was unannounced.
What we did:
We reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the registered provider is required to send us by law.
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 could not talk with us.
We spoke with five people who used the service and seven relatives about their experience of the care provided. We spoke with three members of staff [including one qualified nurse], the activities coordinator and the registered manager. We reviewed five people’s care files and six staff recruitment and personnel files. We also looked at a sample of the service’s quality assurance systems, the registered provider’s arrangements for managing medication, staff training and supervision records, complaint and compliment records.