17 Ramsey Way
Leicestershire LE5 1SJ
Telephone: (0116) 241 5552
OverallRead overall summary
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 17 February 2016 and was unannounced.
The inspection was carried out by two inspectors and a specialist professional advisor. The specialist professional advisor who supported us on this inspection was a qualified nurse with experience of palliative and end of life care in the community and hospitals.
Before the inspection, we asked the provider to complete a Provider Information Return (PIR) and provide us with the contact details for health care professionals involved in peopleâs care. 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. The PIR was completed and returned to the Care Quality Commission, which we took account of in our planning.
We contacted the health and social care professionals and commissioners involved in supporting some people who used the service for their views about the service. Commissioners are people who work to find appropriate care and support services which are paid for by the local authority.
We looked at other information sent to us from people who used the service and relatives of people who used the service. We looked at the information we held about the service such as ânotificationsâ of significant events that affect the health and safety of people who used the service. Notifications are changes, events or incidents that providers must tell us about.
We spoke with nine people who used the service and ten visiting relatives and friends.
We used the Short Observational Framework for Inspection (SOFI), which is a way of observing care to help us understand the experience of people who used the service. We used SOFI to observe people in one lounge in the morning and during the lunch time meal service.
We spoke with the registered manager, two nurses, two senior staff, eight care staff, the activities staff and the cook. We looked at the records of eight people, which included their assessment of needs, care plans, risk assessments and records relating to their daily wellbeing and health. We also looked at information relating to staff recruitment and training records of eight members of staff, a range of policies and procedures, meeting minutes, complaints, satisfaction surveys and the provider quality assurance.
We asked the registered manager to send us additional information in relation to the providerâs complaint procedure and the action plans used to monitor the improvements. This information was received in a timely manner.
Last updated 04:00:47 5th Dec 2017 - Update Now
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