Updated 20 February 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team:
One inspector conducted the inspection.
Service and service type:
Royal Mencap, 178 London Road is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection, Royal Mencap, 178 London Road provided personal care for up to three people.
The service did not have a manager registered with the Care Quality Commission. A new service manager had been employed to oversee the day to day running of the service and the area manager had applied to become the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Notice of inspection
This inspection was unannounced.
What we did:
Prior to the inspection we reviewed all the information we held about the service including notifications received by the Commission. A notification is information about important events which the service is required to tell us about by law. We received the provider information return. This is information we request to provide some key information about the service, what the service does well and improvements they plan to make. We also reviewed the action plan that we received following the last inspection in October and November 2017.
People living at Royal Mencap, 178 London Road were not able to share their experiences of living at the service with us. Therefore, we spent time observing staff with people in communal areas. We spoke to two members of staff, the service manager and the area manager. We spoke to two relatives and received written feedback from one relative. We requested feedback from external healthcare professionals and this was received. We reviewed documentation including two people’s care records, medication records, three employment files, training records, staff supervision, accidents and incidents and safeguarding records. During the inspection we requested documents including policies and procedures, accident analysis and action plans which was received after the inspection.