Last updated 18 October 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 the 25 and 26 September 2018 and was unannounced. The inspection team consisted of two inspectors, a specialist advisor with a specialism in nursing care 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.

Before the inspection we reviewed the information we already held about this service. This included details of its registration and any notifications of significant incidents the provider had sent us. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We contacted the local authority with responsibility for commissioning care from the service to seek their views.

During the inspection we spoke with five people using the service and four relatives. We interviewed 14 staff; the registered manager, head chef, housekeeper, activities coordinator, three nurses, two senior care assistants and five care assistants. We spoke with two health professionals who were visiting the service at the time of our inspection. We reviewed six sets of staff recruitment and supervision records. Medicines were examined on all three floors at the service. We checked health and safety records and the systems in place for monitoring the quality of care and support provided. We read minutes of various meetings and checked some of the policies and procedures.