Background to this inspection
Updated
22 January 2016
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.
The inspection took place on 7 December 2015 and was unannounced. Our inspection team consisted of one adult social care 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. Their expertise was in dementia care.
At the time of our inspection there were 22 people living at the home. During the inspection we spoke with five people who used the service, six visiting relatives and eleven staff including the registered manager and deputy manager. We looked in detail at the care plans of four people and looked at a range of records relating to people’s care and the management of the home. We spent time looking around the building, visiting all communal areas, medical and sluice rooms, some bathrooms and toilets and some people’s rooms.
Before our inspection, we reviewed all the information we held about the home, including previous inspection reports and statutory notifications. Before the inspection providers are asked to complete 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. We did not ask the service to provide us with a PIR prior to this inspection. We contacted the local authority and Healthwatch. We were not made aware of any concerns by the local authority. Healthwatch feedback stated they had no comments or concerns. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
Updated
22 January 2016
Our inspection took place on 7 December 2015 and was unannounced. At our last inspection in October 2013 we found the provider was complying with all the regulations we looked at.
Siegen Manor Resource Centre is a purpose built home providing personal care for up to 30 older people. It is located near the centre of Morley. Leeds Local Authority manages and operates the home which provides accommodation in single rooms. At the time of our inspection there were 22 permanent residents.
There was a registered manager in post at the time of our inspection. 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.
People told us they felt safe and well looked-after in the home. We saw people were protected from potential harm and abuse from staff who had been trained in the safeguarding of vulnerable people and knew when and how to raise any concerns.
We saw the provider undertook robust background checks when recruiting staff and ensured that staff were deployed in sufficient numbers at all times to provide safe care and support. Staff understood how to diffuse any incidents between people and we saw evidence of this in action during the inspection. We observed people were relaxed around each other and in the presence of staff.
Individual risks were understood and well assessed and we saw that care plans were regularly updated to ensure guidance to staff reflected people’s current needs.
Systems were in place to ensure the safe management of medicines and we saw that these were adhered to.
We looked at records which showed equipment was kept serviced and well-maintained. We saw the home was kept clean, although we asked the registered manager to take action to repair damage in the sluice room which may have impacted on the effectiveness of cleaning in this area.
People told us care and support was provided to a high standard and we saw evidence in training plans and records that the provider ensured that staff were supported to do this with a good programme training. In addition staff were also supported through regular supervision and appraisal.
The provider and staff understood the requirements of the Mental Capacity Act (2005) and the implications of this for the ways in which care and support were provided. People’s choices were sought and requested and independent advocates were appropriately used when needed. Deprivation of Liberty Safeguards were being appropriately managed and the need for these was identified in a timely way. We asked the registered manager to submit some applications after our inspection and received confirmation that this had been done.
There was a good provision of food and drink which people told us they enjoyed. People told us they had enough to do and we saw pre-planned events and activities which reflected what people wanted to do each day.
People told us the service was caring and that staff were kind and compassionate. We observed a good standard of care being provided on the day of our inspection. People told us they and their families were involved in decisions about their care and support needs. Care plans were kept up to date through regular review and staff could tell us in detail about people’s care needs, preferences and wider lives.
We received feedback which told us there was a positive culture in the home and that staff and people who used the service found the registered manager approachable, supportive and responsive.
The registered manager monitored the quality of service delivery through a number of means including a programme of audits and checks, feedback forums and questionnaires.