17 February 2017
During an inspection looking at part of the service
We carried out an unannounced comprehensive inspection of this service on 17 December 2015. A breach of legal requirements was found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach. We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. 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 Minehead Road on our website at www.cqc.org.uk”
At the last inspection on 17 December 2015, the registered manager had not sent Care Quality Commission (CQC) notifications of the outcomes of Deprivation of Liberty (DoLS) applications. This was a breach of Regulation 18 of the Health and Social Care Act 2008 (Registration) Regulations 2014.
This focussed inspection took place on 17 February 2017 and was unannounced. We did not look at all of the Key Lines of Enquiry under each key question. We looked at is this service well-led? We followed up on the breach of regulation to see if the registered provider had made improvements to the service. We found action was taken to meet legal requirements in relation to that breach of regulation.
The service 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.
The registered manager had informed CQC of other incidents that occurred at the service. People had a DoLS application made for them by staff. CQC were notified of DoLS applications made to the local authority and the authorisation. CQC received notifications for each of those authorisation outcomes.