Archived: Normanby House

Updated 15 December 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 and 27 October 2017 and was unannounced.

The inspection team consisted of two adult social care inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert in this case, had experience of caring for older people.

Before our inspection, we reviewed all the information we held about the service. We examined notifications received by the Care Quality Commission. Notifications contain information about changes, events or incidents that the provider is legally required to send us. We spoke with the local authority commissioning and safeguarding teams. We also contacted the local Healthwatch. Healthwatch are a consumer group who champion the rights of people using healthcare services.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This document had been completed prior to our visit and we used this information to inform our inspection.

During our inspection we spent time observing how staff provided care to people to help us better understand their experiences of the care they received. We reviewed three people's care files and medication administration records. We looked at three staff files relating to recruitment and training and a range of records relating to the management of the service. We spoke with eight people who used the service and three relatives of people who used the service. During the inspection, we spoke with three care staff and the registered manager. We also asked for feedback from external professionals who were involved in supporting people who used the service.

Updated 15 December 2017

Normanby House is owned and managed by Anchor Trust and provides personal care and support for up to 25 people who are elderly and may be living with a dementia. There were 24 people living at the service when we visited.

We inspected on 16 and 27 October, day one of the inspection was unannounced.

At the last inspection in December 2015, the service was rated Good. At this inspection, we found the service remained good.

Staff demonstrated a good understanding of safeguarding people who may be vulnerable. They were aware of what to look for and knew how to report incidents. They knew the people they supported well. People we spoke with told us they felt safe, respected and well cared for.

People's medicines were managed safely. Risks to people's health and safety had been identified and risk assessments were in place to guide staff. Regular servicing of equipment and checks of services such as gas took place.

Robust recruitment processes were in place to assist the registered manager in making safe decisions about who they employed. Staff received regular training and they were supported through supervision and appraisal.

Staff worked within the principles of the Mental Capacity Act when providing support to people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Best interest decisions involved people’s representatives when required.

People told us they enjoyed the meals provided and were supported to eat a healthy balanced diet. Where needed, people's nutrition was monitored by staff. People had good access to healthcare professionals to support all of their health needs.

The environment supported people's needs and their personal space reflected their preferences and personalities. People's choices were taken account of when planning their care and they could choose how that care was delivered. Their end of life support needs were considered and planned for with the involvement of the person and their next of kin.

People’s needs were assessed and care plans reflected their care preferences and how they liked to spend their time. People were supported to engage in activities and where they had friends or family they were supported to maintain those relationships in a meaningful way.

Regular checks of all areas of the service were completed by the registered manager. There was good oversight from the provider who completed unannounced quality assurance checks to ensure the safe running and quality of the service.

We received consistently positive feedback from people who used the service, their relatives and friends and visiting professionals.