Updated 13 January 2023
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector carried out this inspection.
Service and service type
Danbury is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Danbury is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post. The registered manager was also a regional manager and had oversight of a number of services. Danbury had a manager who was also the manager of another nearby Achieve Together location and they shared their time between these locations. They had submitted an application to be registered as manager with the Care Quality Commission for both locations.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 17 November 2022 and ended on 13 December 2022. We visited the location’s service on 17 November 2022.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority who work with the service. We received a Provider Information Return (PIR) from the service. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information received into our system for ongoing monitoring of the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with 1 person who used the service and 1 relative, and spent time observing people and the care they received.
We spoke with or received feedback from 5 members of staff including the registered manager.
We reviewed a range of records. This included 2 people’s care records and medication records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
We looked at training data and quality assurance records.