Background to this inspection
Updated
17 March 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. At this inspection we followed up on the requirement notice we issued at the last inspection in September 2016 to see if improvements had been made.
The inspection took place on the 12 February 2018 and was unannounced. The inspection team consisted of two inspectors and two experts 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 experts by experience had experience of older people’s care.
During the inspection we spoke with eight people who used the service, one relative and two visitors. We also spoke with the registered manager, deputy manager, a senior care worker, five care workers, the cook, the activities co-ordinator and a domestic assistant. We observed care and support, including the mealtime experience and looked around the home. We looked at five people’s care records and other records such as medication records, meeting notes, accident and incident reports, training records and maintenance records. Following the inspection we telephoned two relatives to ask them for their views on the service.
Before visiting the home we reviewed the information we held about the service which included notifications sent to us by the provider. We contacted the local authority commissioning and safeguarding teams to ask for their views of the service. We spoke with one health professional who works with the service.
We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
Updated
17 March 2018
Summerfield Private Residential Home is a care home. People in care homes receive accommodation and 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.
Summerfield Private Residential Home provides accommodation to a maximum of 32 people, spread over two floors. The service caters for older people over 65 some of whom are living with dementia. The accommodation is mostly single rooms with a small number of double rooms. It is located in Silsden, near Keighley in West Yorkshire. At the time of the inspection 30 people were living in the home.
The inspection was undertaken on 12 February 2018 and was unannounced. At the last inspection in September 2016 we rated the service ‘Requires Improvement’ overall. We identified a breach of Regulation 9 ‘Person centred care’. At this inspection we found improvements had been made and the location was no longer in breach of this Regulation.
A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People and relatives provided consistently positive feedback about the home. They said that care was of high quality, personalised and met people’s individual needs. People praised the nice atmosphere within the home and said staff were consistently kind and caring.
People felt safe living in the home. Systems were in place to protect people from abuse. Risks to people’s health and safety were regularly assessed and care plans put in place to help keep them safe. Staff had a good understanding of the people living in the home and how to care for them safely. People received their medicines consistently as prescribed.
There were enough staff working in the home to ensure people received prompt care and support. Staff had time to chat with people as well as completing care tasks. Staff were recruited safely to help ensure they were of suitable character to work with vulnerable people.
The premises was safely managed and suitable for its purpose as a care home. There was pleasant décor, furniture and fittings and the home was kept clean and well maintained.
Incidents and accidents were recorded, investigated and used to make improvements to the safety of the service. When things went wrong, lessons were learnt to help ensure continuous improvement.
People received care from staff with the right skills and knowledge to care for them effectively. Staff received a range of training and support from the management team.
People had access to a good range of food with sufficient choice and variability. People’s nutritional needs were assessed and where people were deemed at risk, plans of care were put in place to mitigate these risks.
The service was compliant with the requirements of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People’s consent was sought before care and support was offered.
The service worked well with a range of health professionals to help ensure people’s needs were met. Care needs were assessed and appropriate plans of care put in place. People told us care needs were met by the service.
Staff were kind and caring and treated people with a high level of dignity and respect. Staff had developed good relationships with people and knew them well. Care was person centred, focused on meeting people’s individual preferences and taking their views into account. People had access to a wide range of activities and social opportunities.
People were very satisfied with the service, but should they wish to complain, systems were in place to ensure they were able to. Any complaints were logged, investigated and responded to in a timely manner.
There was a good person centred culture within the home and friendly atmosphere. People, relatives and staff all spoke positively about the way the service was run.
Systems were in place to monitor and check how the service was operating. Where issues were found, action was taken to ensure a high performing service. People were regularly asked for their feedback in a number of areas and this was used to further improve the service.