15 February 2017
During an inspection looking at part of the service
This unannounced inspection took place on the 15 February 2017, and was carried out by one adult social care inspector.
Quintaville was previously inspected in October 2016, where we had identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Although staff had a good understanding of Mental Capacity Act 2005 (MCA), people records did not reflect this. We also found some areas of the home were not hygienic and were in need of refurbishment. Following the inspection of October 2016, the provider wrote to tell us what they would do to meet legal requirements in relation to the breaches we had identified.
We undertook this focused inspection on 15 February 2017, to check that the registered manager had followed their action plan and to confirm they now met legal requirements. On this inspection, we found improvements had been made and the provider was now meeting legal requirements. We have revised our rating to good for the key question of effective. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Quintaville on our website at www.cqc.org.uk.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our previous inspection in October 2016, we found some areas of the home were not clean and were in need of refurbishment. At this inspection, we found improvements had been made. The registered manager had introduced hygiene checks, which staff carried out four times a day; this helped to ensure that people bedrooms, bathrooms and communal area of the home remained clean and tidy. Where we had previously identified areas of concern we saw action had been taken. For instance the person’s ensuite bathroom, which had previously been identified as unhygienic, had been completely refurbished.
During our previous inspection, we found that although the registered manager and staff showed a good understanding of the Mental Capacity Act 2005 (MCA). People’s records did not reflect this for instance, where decisions had been made in people’s best interests these were not always being recorded. At this inspection, the registered manager confirmed that staff had received additional training and people’s records now contained mental capacity assessments and best interests decisions.
People said they felt safe and happy living at Quintaville. People looked well cared for, and we saw people were happy to be in the company of staff. Staff who had worked at the home for a number of years were knowledgeable about people’s needs and wishes and had the skills to support them. Records showed staff had undertaken an induction and received training in a variety of topics. These included safeguarding, mental capacity, first aid, pressure area care, moving handling, and food hygiene.
People told us they enjoyed the meals provided by the home. People were able to have their meals in the dining room, the lounge or in their own rooms if they wished. Where people required a soft or pureed diet, this was provided. Each food item was processed individually to enable people to continue to enjoy the separate flavours of their meals. We heard staff offering people choices during meal times and tea, coffee, and soft drinks were freely available.
People had access to a range of health care services and had regular contact with dentists, opticians, chiropodists, district nurses and GPs. Care records showed staff responded quickly to people’s needs.