Last updated 20 February 2018
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 inspection took place on 27, 28 and 29 November 2017 and was unannounced. Over the three days, the inspection team consisted of the lead inspector, another inspector, a specialist advisor 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.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. Prior to the inspection we looked at the PIR and all the information we had collected about the service. This included previous inspection reports, information received and notifications the registered manager had sent us. A notification is information about important events which the service is required to tell us about by law.

During the inspection we spoke with six people who use the service and two relatives. We spoke with the manager and the regional manager. We observed interactions between people who use the service and staff during our inspection. We received additional feedback from eight members of the care staff team in the form of completed questionnaires. We asked seven community professionals for feedback. We receive feedback from three professionals.

We looked at five people's care plans, monitoring and medicine records. We reviewed staff training records and the staff supervision log. We looked at records relating to the management of the service including recruitment records, the compliments/complaints log and accident/incident records. We also checked medicines administration, storage and handling. We reviewed a number of other documents relating to the management of the service. For example, the electrical equipment safety check certificates, gas safety certificate, fire risk assessment, fire safety checks, legionella risk assessment and quality assurance records.