Background to this inspection
Updated
16 March 2022
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 22 February 2022 and was unannounced.
Updated
16 March 2022
About the service:
The service provides accommodation and personal care for up to 35 older adults and people living with dementia. There were 35 people living in the service on the day of our inspection.
People’s experience of using this service:
• Systems and processes were in place to ensure that people were safeguarded from the risk of abuse. There were sufficient qualified and competent staff to care for people. Medicines were well managed; systems and processes were in place to support this. The home was clean. Accidents and incidents were recorded and measures were taken to improve and reduce risk?
• People’s needs were assessed and desired outcomes were met. The food was nutritious and of good quality.
• Staff received the training they need to do their job well. Training opportunities for staff to develop were good.
• The service being delivered was caring and was delivered by a staff team who were kind, compassionate and thoughtful.
• The values of the organisation were clearly visible and staff actions reflected the values well.
• People were given the opportunity to express their views regularly and were involved in the planning of their care. Privacy and dignity was maintained to a high standard.
• People were receiving care that was responsive to their needs.
• Care planning captured people’s wishes and care was delivered by staff who understood the needs of the people they are supporting.
• People knew how to complain and raise concerns and were listened to.
• The registered provider had a clear vision and a strong set of values. This was embedded in the team by strong leadership who were visible, accessible and led by example.
• Processes were in place to ensure that the delivery of care was monitored and checked regularly. Governance systems identified areas for improvement and comprehensive plans were developed and actioned.
• The manager and the staff team worked in partnership with other health and social care professionals and in the community.
The service met the characteristics of Good in all areas that we inspected. More information is in the full report.
Rating at last inspection:
At the last inspection the service was rated Requires Improvement and was published on 17 October 2017.
Why we inspected:
This was a scheduled inspection based on previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.