Updated 28 December 2019
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.
Inspection team
The inspection team consisted of 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 has used this type of service.
Service and service type
Christian Head is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Our planning considered information we held about the service. This included information about incidents the provider must notify us about, such as abuse allegations. We looked at records of complaints and how the service responded to them. We sought feedback from professionals who worked with the service.
The provider was not asked to complete a provider information return prior to this inspection. 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
We used all this information to plan our inspection.
During the inspection
We spent time in each unit and in communal and dining areas speaking with people and observing their daily activities and staff interactions. We reviewed records relevant to the running and quality monitoring of the service and the recruitment records for staff employed since the last inspection. We looked at staff training and supervision records.
We looked at a sample of care plans and four in detail and a selection of records including, medication administration, quality monitoring records, complaints and the training and recruitment records for staff. We also checked the building to ensure it was clean, hygienic and a safe place for people to live. We spent time in each unit and in communal and dining areas speaking with people and observing their daily activities and staff interactions
We spoke with eight people who lived at Christian Head, three visiting relatives and a visiting health care professional. We spoke with the registered manager, who was present throughout the inspection, the supervisor and three members of care staff.
After the inspection
We continued to seek clarification from the provider to validate evidence found including training data and quality assurance records. We obtained further feedback following the visit from professionals and external agencies who regularly came in to contact with the service who were not available during the inspection. They contacted us by email after the visit to give us their experiences of the service.