Background to this inspection
Updated
13 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by one inspector.
Service and service type:
56 Sycamore Grove is a 'care home'. People in care homes receive accommodation and nursing or personal care as a 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 that 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 was an unannounced inspection.
What we did:
Before we inspected, we reviewed information that we had received and held about the service. This included statutory notifications sent to us about events and incidents that had occurred at the service. A notification is information about important events which the service is required to send us by law.
During the inspection, we spoke with both people who use the service. We reviewed information relating to people’s care, including the care plans and records for two people. We also looked at information relating to the management of the service. This included, audits of the service, handover records, meeting minutes, and information relating to staff training. In addition, we spoke with the registered manager and informally with the one member of staff working at the home.
Updated
13 June 2019
About the service: 56 Sycamore Grove is a residential care home that was providing personal care to two people with learning disabilities at the time of the inspection.
People’s experience of using this service:
At the previous inspection in February 2018, we rated the service as Requires Improvement. At this inspection we found that improvements had been made and the service has been rated as Good.
People had individualised care plans in place. These documented their interests, wishes and preferences. People had been consulted with in the process of creating and reviewing their care plans.
Risks to people’s safety had been identified and assessed. There were risk-reducing measures documented, for staff to follow.
Staff had attended training specific to the needs of the people living at the home. This included epilepsy training. There was also a person-specific epilepsy protocol in place. This directed staff as to what action should be taken when supporting a person during an epileptic seizure.
People’s medicines were stored and managed safely. The medicine administration records were up to date. People had protocols in place for medicines required on an ‘as and when’ basis.
People attended social activities based on their interests and to build independence skills. This included participating in college courses and going to the cinema. There were photo albums in the lounge of activities people had taken part in, such as going to local places of interest. This was so they could be used as a resource to help people plan their activities, by reminiscing about what they had enjoyed previously.
People were supported to maintain good family relationships. Family members were welcome to visit the home and staff helped to facilitate phone calls. People went on holiday with their families.
People’s nutritional needs were supported. The home had received compliments from the dietician for offering a healthy range of menu options. People were involved in food preparation, baking, and menu-planning. People’s weights were monitored.
The principles of the Mental Capacity Act 2005 were applied to the care planning, with consideration for consent and capacity throughout. There were mental capacity assessments in place for overall care and treatment while living at the home.
Bedrooms were personalised to people’s individual preferences. There were plans to redevelop the garden space, to make this more accessible.
The registered manager worked care shifts and was integrated into the staff team. This enabled them to know people and their staff team well. Staff received regular supervision meetings with the registered manager.
Rating at last inspection: Requires Improvement, report published 26 April 2018.
Why we inspected: This comprehensive inspection took place based on the date and rating of the previous inspection.
Follow up: We will monitor the information we receive and hold about the service, to inform our next inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk