Last updated 13 January 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 checked 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 21 and 29 November. The visit was unannounced on the first day of the inspection and we let the registered manager know that we were coming on the second day.

We carried out a comprehensive inspection of the service. The inspection was undertaken by two inspectors, a specialist nurse and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed information we held about the service. This included statutory notifications and a Provider Information Return (PIR). The PIR is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the safeguarding alerts raised regarding people living at the home and other information we held on our database about the service.

During the inspection we spoke with 12 people living at the home, six relatives and four volunteers. We also talked to the registered manager, dementia nurse manager, activities and volunteers' manager, hospitality service’s manager, two registered nurses, five staff and a physiotherapist. We observed care and support provided in communal areas. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We checked records related to the staff training, recruitment and rota, medicines, health and safety and the management of the service including quality assurance audits. We also looked at the care records for 10 people and four staff files.

After the inspection we contacted health and social care professionals asking for their feedback about the service. Four health and social care professionals replied providing information about their involvement with the service.