Last updated 6 May 2017
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.

This unannounced inspection took place on 28 February 2017. The inspection was carried out by one inspector, an inspection manager 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.

Before the inspection, we had received information of concern in relation to an aspect of care provided at the service. We reviewed this and other information we held about the service including statutory notifications sent to us by the registered manager about incidents and events that occurred at the service. Statutory notifications include information about important events which the provider is required to send us by law. We used all this information to inform the planning of the inspection.

During our inspection, we spoke with 12 people using the service, three relatives and a nurse who was visiting a person. We also spoke with five members of the care team, the registered manager, two assistant managers, administrator, chef and a board of trustee member.

We reviewed 12 people’s care records and their medicines administration records. We looked at 10 staff records including recruitment, training, supervision and appraisal and duty rotas. We reviewed records relating to the management of the service including quality audits. We checked feedback the service had received from people and their relatives.

We undertook general observations of how staff treated and supported people throughout the service. 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.

After the inspection, we received feedback from three healthcare professionals.