19 December 2020
We 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.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 1 December 2020 and was announced.
19 December 2020
Sandholme Fold is a residential care home for 44 older people and people with dementia.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The provider had systems in place to safely manage medicines within the home. All risk assessments, except one in relation to hot drinks and another in relation to bedrails, were in place and kept up to date. The registered manager ensured the missing risk assessments were put in place. People had personal emergency evacuation plans (PEEPs). There were enough staff to meet people’s needs.
There was a robust recruitment process in place and staff received appropriate training.
People’s care and support was assessed and reviewed on a regular basis. We saw people had access to healthcare professionals.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The provider used 'show plates' of food to help facilitate people's choices. However, the menus were in written format which may make it difficult for people to understand. We made a recommendation for the menus to include pictures.
People’s privacy, dignity and independence was respected and promoted.
The provider had systems in place to assess and monitor the quality of the service. There were audits in place for areas such as; the environment, medicines, infection control and training. We made a recommendation that during the provider’s auditing of care records they look at a larger sample of care records.
Further information is in the detailed findings below.