Background to this inspection
Updated
13 December 2018
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 19 November 2018 and was unannounced. The inspection was carried out by one adult social care inspector and one 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.
Before this inspection, we asked the registered provider to complete a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to help with the planning for this inspection and to support our judgements.
Before this inspection we reviewed the information we held about the service, which included correspondence we had received and any notifications submitted to us by the service. Statutory notifications are information the registered provider is legally required to send us about significant events that happen within the service. For example, where a person who uses the service has a serious injury.
Before this inspection we contacted staff at Healthwatch, Sheffield and they had no concerns recorded. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We also contacted members of Sheffield council contracts and commissioning service and Sheffield Health and Social Care Trust.
During the inspection we spoke with six people who lived at the home. We met with the registered manager and nominated individual. We spoke with four members of staff. We spent time looking at written records, which included four people’s care records, five staff personnel files and other records relating to the management of the service. We walked around all four bungalows and looked in the communal areas. With their permission we also looked in several people’s bedrooms.
Updated
13 December 2018
This inspection took place on 19 November 2018 and was unannounced. This meant no-one at the service knew we were planning to visit.
Norfolk Road is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection. Norfolk Road is a registered to provide accommodation and personal care to adults with mental health needs. There are eleven single bedrooms across four separate bungalows. Each bungalow has a shared kitchen, lounge and bathroom. There were ten people living at Norfolk Road at the time of this inspection.
At our last inspection on 21 March 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good, and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
There were enough staff available to ensure people’s care and support needs were met. The registered provider had effective recruitment procedures in place to make sure staff had the required skills and were of suitable character and background.
Staff understood what it meant to protect people from abuse. They told us they were confident any concerns they raised would be taken seriously by the registered manager.
Medicines were stored safely and securely. Where people needed support with managing their medicines there were systems in place to ensure people received their medicines as prescribed.
Staff were provided with an effective induction and relevant training to make sure they had the right skills and knowledge for their role. Staff were supported in their jobs through regular supervisions and an annual appraisal.
People were supported to eat and drink to maintain a balanced diet. People were supported to maintain good health and have access to health and social care services.
Staff understood the requirements of the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.
People’s privacy and dignity was respected and promoted.
There was a range of activities available to people. People were encouraged and supported to engage in activities that were important to them.
People’s care records reflected the person’s current health and social care needs. Care records contained up to date risk assessments. Care records were regularly reviewed with the person.
There was a complaints procedure in place. People and staff were regularly asked for their views of the service. This promoted a positive culture with a focus on continuous improvement of the service.
There were effective systems in place to monitor and improve the quality of the service provided.
Safety and maintenance checks for the premises and equipment were in place and up to date.
The service had policies and procedures which reflected current legislation and good practice guidance. Some were due for review.
Further information is in the detailed findings below