Last updated 13 June 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.

Before the inspection, we asked the provider to complete 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. Due to technical problems a PIR was not available and we took this into account when we inspected the service and made the judgements in this report. Before we visited the home, we checked the information that we held about the service and the service provider. This included any notifications and safeguarding alerts. A notification is information about important events which the service is required to send us by law. The inspection was informed by feedback from professionals which included the local borough contracts and commissioning team that had placements at the home, and the local borough safeguarding team.

This inspection took place on 21 May 2018 and was unannounced. The inspection team consisted of two inspectors.

During our inspection we observed how the staff interacted with people who used the service and looked at people’s bedrooms. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We spoke with four people who lived in the service and one relative during the inspection. We also spoke with the nominated individual, the registered manager, one senior care assistant, one care assistant and the chef. We looked at five care files, staff duty roster, four staff files including supervision and training records, a range of audits, minutes for various meetings, four medicines records, accidents and incidents, health and safety folder, and policies and procedures for the service. After the inspection we spoke with a professional from the local clinical commissioning group.