Background to this inspection
Updated
29 April 2017
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.
This inspection visit took place on 31 March 2017 and was unannounced; it was carried out by one inspector.
We checked the information we held about the service and the provider. This included notifications the provider had sent to us about significant events at the service and information we had received from the public, the local authority and other relevant professionals.
On this occasion we did not ask the provider to complete a Provider Information Return (PIR) prior to this inspection. This 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. However, we gave the provider the opportunity to provide us with information they wished to be considered during our inspection.
To gain people's views about the care and to check that standards of care were being met we spent time observing care and support in the communal areas. We observed how staff interacted with people who used the service. We spoke with five people who used the service, three people’s visitors, three members of care staff, a senior carer and the provider who also managed the home.
We looked at the care records for two people. We checked that the care they received matched the information in their records. We also looked at records relating to the management of the service, including quality checks and staff files.
Updated
29 April 2017
We inspected this service on 31 March 2017. This was an unannounced inspection. The service provides accommodation and personal care for up to 21 older people who may be living with dementia. There were 19 people living at the home on the day of our inspection. At our previous inspection visit on the 11 February 2015 the provider was meeting all the regulations relating to the Health and Social Care Act 2008.
The home does not need to have a registered manager, as the registered provider manages the home on a day to day basis.
We identified that not all risks had been proactively managed to keep people safe, which had led to one person being put at risk of harm. The provider following this event had put measures in place to minimise this risk.
People told us they felt safe with the staff and staff understood their role in reporting any concerns. People received their medicines at the right time and medicines were managed safely. There was enough suitably skilled staffed to support people according to their needs. Checks were carried out prior to staff starting work to ensure their suitability to support with people.
Staff gained people’s verbal consent before supporting them with any care tasks and helped people to make their own decisions when possible. Where people were unable to make decisions independently they were supported in their best interests and in accordance with the Mental Capacity Act. People received food and drink that met their nutritional needs and preferences, and were referred to healthcare professionals when needed to maintain their health and wellbeing.
Staff understood people’s needs, preferences and interests and were caring towards them. People were supported to maintain their dignity and privacy and relationships that were important to them.
People knew who the provider was and how to complain. When complaints were made these were responded to in line with the provider’s policy. Staff felt listened to and were happy to raise concerns. Quality monitoring checks were completed by the provider and they sought people’s opinions. When needed action was taken to make improvements.