6 October 2016
During a routine inspection
At the time of the inspection, there was 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.
The service has had four inspections since their transitional registration on 31 December 2010. Our last inspection was on 26 February 2014 where the five standards we checked were compliant. This is the first inspection of the location under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and rating required under the Care Act 2014.
At the time of the inspection, one people received care from the service. This differed significantly to our previous inspections where numerous older adults received personal care within their homes. The person who used the service at this inspection had complex healthcare needs and required complicated nursing care. The registered manager explained they had decided to make a change in the type of care the service provided.
People were protected against abuse or neglect. There were sufficient staff to meet people’s needs and the service appropriately determined correct staff deployment. People’s medicines were administered, stored and disposed of appropriately.
We found staff received appropriate induction, training, supervision and performance appraisals. Recruitment and selection of new staff members was robust and ensured safety for people who used the service. Consent was gained before care was commenced and people’s right to refuse care was respected.
The registered nurses were kind and caring. Comments we received indicated people were satisfied with the care they received. We determined the staff respected people’s privacy and dignity, and ensured people remained as independent as possible. People had regular opportunities to provide feedback to the service and also have a say in their care package.
The service was responsive to people’s needs. People had the ability to share their compliments, concerns and complaints in an open and transparent manner. People’s care plans were person-centred and appropriate to the care required.
Staff expressed a positive workplace culture at the service. The registered manager was skilled and knowledgeable in their role and the team worked well together. We found that the service conducted a relevant amount of checks to assess the standard of care.