Last updated 21 February 2019
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection was carried out on 3 and 8 January 2019. The first day of the inspection was unannounced; the inspection team consisted of one adult social care inspector and an expert by experience. An expert by experience is a person who has experience of using, or caring for someone using, this type of service. The second day of the inspection was announced and completed by one adult social care inspector.

We reviewed all information the Care Quality Commission (CQC) held about the service before the inspection. This included all contacts about the home, previous inspection reports and notifications sent to us. A notification is information about important events which the service is required to tell us about by law. We also reviewed the 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.

We met people who lived at the home throughout our visits and spoke with five people to gain their views about the service. We also spoke with five relatives to ask for their views. We spent time in communal areas observing staff interactions with people and the care and support delivered to them. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people living with dementia.

We met fifteen staff which included the new manager, senior lead nurse, senior auditing nurse, two registered nurses, activity person, senior care staff, care staff, housekeeping staff, the cook, and the administrator. We also spoke with two of the directors of the service, a visiting social worker and hairdresser.

We looked at three people's care records and five people’s medicine records. We also checked four staff records, meeting minutes and various quality monitoring audits and the services policies and procedures. We sought feedback from and health and social care professionals who regularly visited the home and received a response from two of them.