Updated 29 March 2019
The inspection:
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.
Inspection team:
This inspection was completed by two adult social care inspectors.
Service and service type:
22 and 24 Thornhill Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means the manager and the provider are both legally responsible for how the service is run and for the quality and safety of the care provided. However, the registered manager was on leave at the time of inspection.
Notice of inspection:
This inspection was unannounced.
What we did:
Before this inspection we reviewed information we held about the service. The registered manager had completed a Provider Information Return (PIR). The PIR 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. We also reviewed notifications submitted to us by the service. Providers are required by law to notify us of certain events, such as when a person who uses the service suffers a serious injury. We took this information into account when we inspected the service.
We contacted social care commissioners who help arrange and monitor the care of people living at 22 and 24 Thornhill Road. We also contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the feedback from these organisations to plan our inspection.
During this inspection asked to speak with one person who declined and other people had limited verbal communication. We spoke with one visiting relative, the clinical lead, a nurse and three care staff on duty.
We looked at three people's care records, medication administration records and two staff files which included recruitment checks, supervisions, appraisals and training records. We also looked at other records relating to the management of the service, such as quality assurance audits.
We spent time observing the daily life in the service and we looked around the building to check environmental safety and cleanliness.