The inspection took place on the 11 and 12 December 2018 and was unannounced. The inspection was a comprehensive inspection completed in line with our methodology.
The inspection was completed by two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who used this type of care service.
Prior to the inspection we reviewed the information available. This included the Provider Information Return (PIR) and notifications. The PIR is a form that asks the provider to give some key information about the service, what the service does well and what improvements they plan to make. A notification is information about important events, such as incidents, which the provider is required by law to send us.
During the inspection we spoke we spoke with 16 people who lived at the service. We spoke to some people on their own as well as sitting and chatting with people in groups and as they went about their daily routines. We spoke with ten members of the staff team, which included care staff, kitchen staff, cleaning staff and the homes regular hairdresser. We also met with the registered manager and one of the registered providers who were present throughout the inspection.
We reviewed the care files of eight people in detail. This included reviewing people’s care plans, risk assessments, and daily monitoring forms. We looked in detail how medicines were managed in the service and looked at people’s medicines records. We looked at a range of other records relating to people’s care and the running of the service. This included accident and incident reports, staff personal files and recruitment records, training plans and a range of quality audits.