Last updated 1 December 2016
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 was unannounced.

We carried out a comprehensive inspection of all aspects of the home on the 05 and 12 June 2015. That comprehensive inspection identified two breaches of regulations. We undertook a further unannounced inspection of St Nectans Residential Care Home on 21, 24 and 26 October 2016. This inspection was to check that improvements to meet legal requirements planned by the provider after our inspection in June 2015 had been made.

The inspection team consisted of an inspector. Before the inspection we looked at and reviewed all the current information we held about the service. This included notifications that we received. Notifications are events that the provider is required by law to inform us of. The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with 10 people who lived at the home, four visiting relatives, six care staff members, the manager and the provider. We looked at all areas of the building, including people’s bedrooms, bathrooms, the lounge areas and the dining area. We spent time observing care and used the short observational framework for inspection (SOFI), which is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed the records of the home, which included quality assurance audits. We looked at four care plans and the risk assessments included within these, along with other relevant documentation to support our findings. We also ‘pathway tracked’ people living at the home. This is when we followed the care and support a person’s receives and obtained their views. It was an important part of our inspection as it allowed us to capture information about a sample of people receiving care.