Updated 13 April 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
The inspection was completed on 16 January 2019. The inspection team consisted of an inspector 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. This included experience of looking after an older person.
Service and service type
OSJCT Patchett Lodge is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home can accommodate 30 people in one adapted building.
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
The inspection was unannounced.
What we did
• Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, and local authorities.
• Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
• We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the registered provider is required to tell us about.
• We spent time observing the care provided to people.
• We spoke with the registered manager, a deputy manager, the manager brought in to oversee the development of the facilities, a care worker and a member of the domestic staff. We also spoke with an external health care professional from the community nursing team.
• We spoke with three people living at the home and four relatives who visited during the inspection.
• We looked at a range of documents and written records including five people’s care files and two staff recruitment records. We also looked at information relating to the administration of medicines and the auditing and monitoring of service provision.
• Following the inspection the registered manager sent us information about concerns we raised regarding the management of medicines.