Background to this inspection
Updated
12 March 2020
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector and one assistant inspector carried out this inspection.
Service and service type
Normanton Retirement Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as 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 was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service about their experience of the care provided, three relatives and one visitor. 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. In addition, we spoke with six members of staff including care staff members, the registered manager, catering and administration staff.
We reviewed a range of records. This included two people's care records including the records of medicine administration. We confirmed the safe recruitment of staff and looked at a variety of records relating to the management of the service, including any quality monitoring checks.
Updated
12 March 2020
About the service
Normanton Retirement Home provides accommodation and personal care for up to 29 people. On the day of our inspection 28 people were receiving services, some of whom were living with dementia.
People's experience of using this service and what we found
People were not always safe as the systems and procedures at Normanton Retirement Home were ineffective in identifying improvements needed in safety.
People were not safe from infectious illnesses as the infection prevention and control measures at Normanton Retirement Home were not effective.
The provider's quality monitoring procedures were ineffective in identifying the improvements which were needed to drive good care and support.
People received their medicines safely. Staff members had been trained and assessed as competent before supporting people with their medicines. Staff members were aware of the necessary action they should take in the event of an emergency.
People were protected from harm and abuse as the staff team had been trained to recognise potential signs of abuse. People had information on how to raise concerns and were confident any issues would be addressed correctly.
People had access to additional healthcare services when required.
People were supported to maintain a healthy diet by a staff team which knew their individual likes and dislikes.
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.
People received help and support from a kind and compassionate staff team with whom they had developed positive relationships. People were supported by staff members who were aware of their individual protected characteristics like age, gender, disability and religion.
The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.
The provider, and management team, had good links with the local communities within which people lived.
Rating at last inspection
The last rating for this service was 'Good', (published 03 October 2017).
Why we inspected
This was a planned inspection based on the previous rating.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. Please see the Safe and Well-led sections of this full report.
Enforcement:
We have identified breaches in relation to the premises and how the location was managed.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Normanton Retirement Home on our website at www.cqc.org.uk