Updated 6 October 2017We 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 inspection took place on 5 and 7 September 2017 and it was unannounced.
Prior to our inspection, we reviewed information we held about the service, including previous reports and notifications sent to us at the Care Quality Commission. A notification is information about important events which the service is required to send us by law. We contacted the local authority about their views of the quality of care delivered by the service. We looked at the information sent to us by the provider in the Provider Information Return, 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.
The inspection was carried out by two inspectors and two experts 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.
During the inspection, we spoke with 14 people using the service, eight relatives, the registered manager, the regional manager, the deputy manager, two senior care staff, two care staff, one chef and a cook, a housekeeping staff and a volunteer. We spent time observing interactions between people and the staff who were supporting them in the shared areas including medicines administration, breakfast and lunch time, and in their bedroom with people's prior permission. We reviewed seven people’s care plans and risk assessments, and 15 people's medicines administration records and care records, and six staff files including their recruitment, training and supervision records and one month's staff rota.
We looked at accidents, complaints and safeguarding records, staff meeting minutes, residents' meeting notes, quality audits and monitoring checks. We reviewed the documents that were provided by the service on our request after the inspection including policies and procedures, commissioners’ monitoring report, survey results and activities details.