Last updated 21 March 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 inspection took place on 9, 10 January and 11 February 2019. It was unannounced. The inspection was carried out by two inspectors on days one and day two. Three inspectors were involved in the inspection on day three. An expert by experience present on the second day. 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 area of expertise was older people and dementia care.

Prior to the inspection we reviewed the information we held on the service, such as notifications and safeguarding alerts and concerns. A Provider Information Return (PIR) was already on file and not requested prior to this inspection. The PIR is a form that the provider submits to the Commission which gives us key information about the service, what it does well and what improvements they plan to make.

We spoke with three visiting professionals during the inspection. After the inspection we contacted health care professionals and commissioners involved with the service to obtain their views about the care provided. We have included their feedback received within the report.

During the inspection we walked around the home to review the environment people lived in. We spoke with the registered manager, deputy manager, two registered nurses, two nurse assistants, two team leaders, four care staff, head chef, head of housekeeping, a housekeeper and the activity co-ordinator. Over the course of the three days we spoke with 18 people and 14 relatives during the inspection. We spoke with two relatives by telephone after the inspection.

We looked at a number of records relating to people's care and the running of the home. These included 14 care plans and people's medicine records, staff rotas, seven staff recruitment files and 17 staff training and supervision files. We asked the registered manager to send further documents after the inspection. The registered manager sent us some of the requested documents which we have used as additional evidence. Other information requested was not provided in a timely manner.