Last updated 8 June 2017
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 April 2017 and was unannounced. It was conducted by four inspectors, two experts by experience (Ex by Ex) and a nurse specialist (SPA). An Ex by Ex is a person who has experience for caring for older people and / or people with disabilities.

Before the inspection, we reviewed all the information we held about the provider. This included information sent to us by the provider in the form of notifications and safeguarding adult referrals made to the local authority. A notification is information about important events which the provider is required to tell us about by law. We contacted the local authority quality assurance and safeguarding team to ask them for their views on the service and if they had any concerns, no concerns were raised.

Before the inspection, the registered manager completed 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 used a number of different methods to help us understand the experiences of people who used the service. We spoke with seven people, six staff members, the registered manager, the deputy manager and seven relatives. We also spoke with the business manager, the chef, two activity co-ordinators and two health care professionals. We contacted four social care professionals for feedback but had no response.

We spent time observing care and support provided throughout the day of inspection, at lunch time and in the communal areas. We reviewed a variety of documents which included six people’s care plans, risk assessments, and people’s medicine administration records (MAR). We also reviewed four weeks of duty rotas, four staff recruitment files, health and safety records and quality assurance records. We also looked at a range of the provider’s policy documents. We asked the registered manager to send us some additional information following our visit, which they did.

We last inspected the service on 11 February 2016 there were no concerns were identified; however we made some good practice recommendations.