Background to this inspection
Updated
12 September 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 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.
This was a comprehensive inspection which took place on 20 June 2017 and was unannounced. The membership of the inspection team comprised of an inspectors and a British Sign Language (BSL) Interpreter.
When planning our inspection we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts, which they are required to send us by law. The provider had submitted a Provider Information Return (PIR) form prior to our inspection visit. The PIR is a form that asks the provider to give some key information about the service, what the services does well and improvements they plan to make. We also contacted the Local Authority commissioning service for any relevant information they may have to support our inspection. We also looked at the Health Watch website, which provides information on care homes.
During our visit to the home we spoke with two people who used the service, three members of staff, the registered manager and the deputy manager. The people living at the location were able to give us in-depth answers to all of our questions.
We looked at the care records of three people and three staff files as well as the medicine management processes and associated records. We also looked at records that were maintained by the provider about recruitment and staff training as well as records relating to the management of the service. These included compliments, complaints, accident /incident records, risk assessments and a selection of the service’s policies and procedures to check that people received a quality service.
Updated
12 September 2017
Care service description:
11 Tarragon Gardens provides accommodation with personal care for up to four people with hearing impairment or deafness. At the time of our inspection there were three people living at the location.
Rating at last inspection:
At the last inspection in May 2015, the service was rated Good in all the areas that we looked at.
Rating at this inspection:
At this inspection we found the service remained Good.
Why the service is rated as Good:
There was a registered manager in post. 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.
People were kept safe and secure from the risk of abuse and avoidable harm because staff were knowledgeable about safeguarding procedures and what their reporting responsibilities were. Potential risks to people had been assessed and managed appropriately by the provider. People received their medicines safely and as prescribed and were supported by sufficient numbers of staff to ensure that risk of harm was minimised.
Staff had been recruited appropriately and had received relevant training so that they were able to support people with their individual care and support needs. Staff sought people’s consent before providing care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.
People were treated with kindness and compassion and there were positive interactions between staff and the people living at the location. People’s rights to privacy and confidentiality were respected by the staff that supported them and their dignity was maintained. People were supported to express their views and be actively involved in making decisions about their care and support needs. People received care from staff that knew them well and benefitted from opportunities to take part in activities that they enjoyed.
Relatives and staff were confident about approaching the manager if they needed to and knew how to complain. People’s views on the quality of the service were gathered and used to support service development. The provider had effective auditing systems in place to further monitor the effectiveness and quality of the service.