Updated 22 September 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience made telephone calls to people and their relatives to collect their views. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was not a registered manager in post. The registered manager had recently left the service and the Branch manager was in place managing the service and recruitment for a registered manager had commenced.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spent time at the office to review records and spoke with the manager, deputy manager and area manager.
We reviewed a range of records. These included four people’s care records, and a variety of records relating to the management of the service, including audits and procedures..
After the inspection
We carried out telephone interviews with two people who use the service, six relatives and five members of support staff while continuing to seek clarification from the provider to corroborate evidence found. We looked at audits, care plans, reports and policies.