Updated 1 March 2019
The inspection: 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 was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the home, and to provide a rating for the home under the Care Act 2014.
Inspection team: One adult social care inspector, one assistant inspector and an expert by experience undertook this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. For this inspection, the expert by experience was experienced in the care needs of older people and those living with dementia.
Service and service type: Bishopsteignton House is a care home registered to provide accommodation with personal care for up to 27 people. The service is intended for older people and does not provide nursing care. Where nursing care is required this is provided by the local community nursing team. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the home is run and for the quality and safety of the care provided.
Notice of inspection: The inspection was unannounced.
What we did: Before our inspection we reviewed the information we held about the home. This included correspondence we had received and notifications submitted by the home. A notification must be sent to the Care Quality Commission every time a significant incident has taken place. Prior to the inspection, the provider completed a Provider Information Return (PIR). This form asks the provider to give some key information about the home including what the home does well, and any improvements they plan to make in the future. We also gathered information from the local authority and the community nursing team.
This information was reviewed and used to assist with our inspection.
During the inspection we met all 22 people living in the home and spoke in detail with 12 people. We also spoke with four relatives, five staff, the registered manager, the provider and their area manager. We reviewed the care records for three people with complex support needs as well as how the service managed people’s medicines. We also looked at records relating to the management of the service, including three staff personnel files, staff training records, complaints records and quality assurance audits.