Sairam Villa Care Home

Updated 8 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by one inspector, two specialist advisors (a specialist advisor is a qualified health professional)one inspector from the Care Quality Commission (CQC) medicines team 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.

Service and service type: Sairam Villa Nursing Home is a nursing home. People in nursing homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At the time of our inspection the service did not have a registered manager. However, the manager has applied with the CQC to be registered. A registered manager like the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: The inspection visit took place on 15 May 2019 and was unannounced.

What we did: Before the inspection we reviewed the information, we held about the service. This included notifications the provider is required by law to send us about events that happen within the service such as serious injuries. The manager had completed a Provider Information Return (PIR). The PIR 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 sought feedback from the local authority and other professionals who work with the service such as Healthwatch. Healthwatch is an independent organisation which collects people's views about health and social care services. The feedback from these organisations was used in planning for the inspection and helped identify some key lines of enquiry. We used all this information to plan our inspection.

During our inspection visit we spoke with nine people who lived at the home, 11 relatives, eight members of care staff, one senior member of care staff, one registered nurse, the manager, the registered provider and one healthcare professional.

We looked at 11 people's care records, 10 people's medicine records, seven staff personnel files, recruitment, induction and training records, meeting minutes, records of complaints and compliments and management quality audits and checks. We also completed checks of the premises and observed how staff cared for and supported people.

Updated 8 June 2019

About the service: Sairam Villa Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Sairam Villa Care Home can care for 46 people, in single rooms, all of which have en-suite wet rooms. All rooms have telephones and TV channels, including Asian TV. The home has three floors, with each floor having a dedicated care team to ensure continuity of care. Sairam Villa Care Home has a variety of areas for people to enjoy, including four lounges, three dining areas, a prayer and silence room, a hair salon, and pamper therapy room. Access to the garden is from the lounge area on the ground floor. The landscaped garden has been designed to give quiet private areas, as well as larger spaces for social activities. There is also a terrace garden leading out from the first-floor dining room. This is a usable space which is enclosed for safety. A balcony area on the 2nd floor is also available. During the day of this inspection Sairam Villa Care Home provided care and support to 46 people.

People’s experience of using this service:

People felt safe and were protected from avoidable harm. Staff understood how to keep people safe and how to report any concerns they may have. Staff knew about the risks associated with people's care and understood how to minimise risks to them. Further information was available in care plans for staff to refer to. Staff supported people to take their medicines as prescribed. Staff understood how to prevent the spread of infection.

People received care from a consistent team of staff who understood their needs. Staff were recruited safely, and processes checked the background of potential new staff. People's needs were assessed to ensure they could be met by the service. Staff received the training and guidance they needed to complete their role well. The manager encouraged staff to expand their knowledge through specialised training. People made their own decisions about their care and were supported by staff who understood the principles of the Mental Capacity Act 2005.

People were offered choices. For example, in the meals and drinks they were offered. Staff respected people's rights to privacy and dignity. People received information about the service in a way that was appropriate to their needs. Over 75% of staff supporting people who used the service spoke Guajarati and some polices and procedures were translated into Guajarati and provided in other user friendly formats.

People were involved in planning their care. Care plans contained the information and guidance staff needed to support people. People were offered and took part in a range of meaningful activities. Systems were in place to manage and respond to any complaints or concerns raised. People were supported to stay at Sairam Villa until the end of their lives.

The manager had robust systems and processes to monitor quality within the home. The manager understood their regulatory responsibilities and shared information with stakeholders in a timely way.

Rating at last inspection: During our last inspection we rated Sairam Villa Care Home good. (Report published December 2016).

Why we inspected: This was a planned inspection based on the date and the rating of the previous inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk