Updated 27 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.’
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. The service a registered manager and an assistant manager.
Inspection team: One inspector carried this inspection
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because it is a small service and we needed to make sure the relevant staff and information would be available in the office.
The inspection site visit took place on 25 March 2019. We visited the office location to see the office staff and to review care records and policies and procedures. The registered manager and assistant manager was available and assisted us on the day of the visit.
What we did:
¿ Before the inspection site visit we looked at information we have gathered about the service. The previous registered manager completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspection. We looked at the PIR and at all the information we had collected about the service.
¿ We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
¿ We contacted all members of staff asking for feedback on working for the service and
received a response from six
During the inspection we spoke with the Registered Manager and the assistant manager. We also gathered information about:
¿
¿ Four people’s care plans, daily notes, monitoring records, risk assessments and medication sheets.
¿ One recruitment record
¿ Records of compliments.
¿ Training matrix
¿ Supervision Matrix
After the inspection additional information was gathered
¿ The Registered Manager’s quality assurance audit
¿ Policies and procedures
¿ Feedback from four relatives
¿ Feedback from six staff members