Updated 19 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was completed by one inspector.
Service and service type:
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
Inspection site visit activity started on 22 May 2019 and was unannounced. We visited the office location to see the manager and office staff; and to review care records and policies and procedures. After the inspection we spoke to people, their relatives and staff on the telephone.
What we did:
Before the inspection, we reviewed the information we held about the service to help us formulate our inspection plan. We looked at the Provider Information Return (PIR). This is a document we ask the provider to complete to give us key information about the service, such as what it does well and any improvements they plan to make. We looked at notifications. Notifications are sent to us by the provider, as required by law to tell us about events that have occurred such deaths, serious injuries and safeguarding concerns.
During the inspection we spoke with two people who used the service and two relatives, two members of staff, the general manager, the registered manager and the practice development facilitator. We looked at three care records and records relating to the management of the service including, policies and procedures, audits and staff recruitment files.