Background to this inspection
Updated
13 August 2016
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.
The inspection team consisted of an inspector, an Expert by Experience and a specialist nursing advisor with experience of dementia care. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service.
Before our inspection, we reviewed the information we held about the home, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law.
We also contacted visiting health and social care professionals, the commissioners of the service and Healthwatch Nottinghamshire to obtain their views about the care provided in the home.
During the inspection we observed care and spoke with four people who used the service, five visitors, a visiting healthcare professional, the cook, a catering assistant, the housekeeper, a domestic staff member, a laundry staff member, four care staff, a nurse and two representatives of the provider. We looked at the relevant parts of the care records of six people, three staff files and other records relating to the management of the home.
Updated
13 August 2016
This inspection took place on 19 and 20 July 2016 and was unannounced.
Accommodation for up to 49 people is provided in the service over two floors. The service is designed to meet the needs of older people. There were 38 people using the service at the time of our inspection.
A registered manager was in post but she was not available during the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Systems were in place for staff to identify and manage risks and respond to accidents and incidents. However, risks to people were not always safely managed.
Sufficient staff were on duty to meet people’s needs during our inspection but identified staffing levels had not been met a number of times in the previous month.
People felt safe in the home and staff knew how to identify and respond to potential signs of abuse. Staff were recruited through safe recruitment practices. Medicines were safely managed.
Staff received appropriate induction, training, supervision and appraisal. People’s rights were protected under the Mental Capacity Act 2005. People received sufficient to eat and drink. External professionals were involved in people’s care as appropriate. However, the adaptation, design and decoration of the service could be improved to support people living with dementia.
Staff were kind and knew people well. People and their relatives were involved in decisions about their care. Advocacy information was made available to people.
People generally received care that respected their privacy and dignity and promoted their independence.
People received personalised care that was responsive to their needs. Care records contained information to support staff to meet people’s individual needs.
A complaints process was in place and staff knew how to respond to complaints.
People and their relatives were involved or had opportunities to be involved in the development of the service. Staff told us they would be confident in raising any concerns with the registered manager and that appropriate action would be taken.
The provider and registered manager were meeting their regulatory responsibilities. There were effective systems in place to monitor and improve the quality of the service provided.