Updated 6 May 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
72 Cardinals Way is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager, who was also the nominated individual of the service provider who was registered with the Care Quality Commission (CQC). This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
Our inspection activity started on 29 January 2020 when we visited the home’s location and ended 6 February 2020. We visited in February in order to meet people using the service and offer them an opportunity to tell us what they thought about their care.
What we did before the inspection
Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. Other information we reviewed included the previous inspection report. This information helps support our inspections. We used all this information to plan our inspection.
We had not requested the provider to send us a provider information return prior to this inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used other information about the service such as notifications of significant events and other information received through contact with the provider and other partner agencies to plan this inspection.
During the inspection
We spoke with the registered manager who was also the nominated individual for the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with each of the three people using the service, two support workers, the registered manager and the provider. We reviewed a variety of records which related to people's individual care and the running of the service. These records included each person’s care file, five staff employment records, medicines records, quality monitoring records and some policies.
After the inspection
We continued to seek clarification from the provider to validate evidence found. The manager supplied us with details of action they had taken to address the deficiencies we found in some record keeping. We also looked at some policies.