Archived: Saxilby Care Centre

Updated 30 January 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 checked whether the provider was 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.

Inspection team:

This inspection was carried out by one inspector.

Service and service type:

Saxilby Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. At the time of our inspection the service was providing care and support for ten people.

The service employed two managers who were registered with the CQC. This means that they and the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was carried out on 17 January 2019 and was unannounced.

What we did:

Before the inspection, the registered provider had completed a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they planned to make. The registered provider returned the PIR and we took this into account when we made judgements in this report.

We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the registered provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. In addition, we contacted and requested information from commissioners who had a contract in place with the service.

During our inspection visit we spoke with eight people who lived at the service. We observed how people and staff interacted with each other and how people were being supported using the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us to understand the experience of people who were unable to communicate directly with us.

We spoke with two members of the care staff team, the cook, a visiting community nurse, an external training assessment officer and both registered managers. We also spoke with the registered provider's area manager by telephone.

In addition, we undertook a tour of the premises and at looked at the range of activities available to people and that were taking place. We also reviewed specific parts of the care plan records of three people who lived at the service, the management of their medicines and a range of monitoring and audit information provided by the registered managers about how they ran the service as a whole.

Updated 30 January 2019

About the service:

Saxilby Care Centre provides accommodation, care and support for up to ten people who experience physical disabilities and those live with dementia.

There were ten people living at the service at the time of the inspection.

People’s experience of using this service:

People continued to receive safe care. Staff had a good understanding about how to keep people safe from harm and the safeguarding procedures that should be followed to report any incidents of concern or abuse they identified. Risk assessments were in place to manage potential risks within people’s day to day lives, whilst also promoting their independence.

Staff recruitment procedures were in place and appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Sufficient staffing levels were being maintained and at the time of our inspection, staffing support matched the level of assessed needs for the people who lived at the service.

Staff induction and on-going training was provided to ensure staff had the skills, knowledge and support they needed to perform their roles. Staff told us they were well supported by the registered management team.

Wherever possible, people's consent was gained before any care was provided. People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff continued to treat people with kindness, dignity and respect. Care plans reflected people’s likes, dislikes and the way in which they had chosen to be cared for.

People were involved in reviewing their care and in making any necessary changes to the way care was provided. People had access to activities of their choice and were supported to maintain any interests or hobbies they had.

A process was in place which ensured concerns and complaints could be raised. People and their relatives had access to this information so that if needed, they were clear about how to raise any concerns or more formal complaints they had.

The service continued to be well managed. The registered provider had systems in place to monitor the quality of the service. Actions were taken and improvements were made when required.

Rating at last inspection:

Good (report published January 2016).

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service remained rated good overall.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.