North Yorkshire YO61 1SA
Telephone: (01347) 838295
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 4, 5 and 25 July 2017 and the first day of inspection was unannounced. On 4 July 2017 the inspection team consisted of one adult social care inspector and an 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. On 5 July 2017 the inspection team consisted of one adult social care inspector and on 25 July 2017 the inspection team consisted of two adult social care inspectors.
Before the inspection we spoke with the local authority safeguarding and commissioning teams to gain their views of the service. We reviewed all of the information we held about the service, including notifications sent to us by the provider. Notifications are when providers send us information about certain changes, events or incidents that occur within the service, which they are required to do by law. The provider submitted a Provider Information Return (PIR) in June 2017 within the given timescales for return. The PIR 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.
Following the first two days of our inspection we received some whistle blowing information regarding peopleâs care and allegations of abuse within the service. These were investigated during the third day of inspection and our findings are documented within this report.
During the inspection we spoke with the head of operations, the manager, the deputy manager/clinical lead and 13 members of staff including nurses, team leaders, care staff and ancillary workers. People who used the service had complex neurological and/or physical impairment which resulted in it not being possible to hold significant discussions with some individuals on their experience of the service. However, we managed to speak with 10 people and we exchanged pleasantries with other individuals. We spoke with one relative after our inspection. We also carried out observations during the inspection in the communal areas and during mealtimes.
We looked at six peopleâs care records, including their initial assessments, care plans, reviews, risk assessments and Medication Administration Records (MARs). We looked at how the service used the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) to ensure that when people were assessed as lacking capacity to make informed decisions themselves or when they were deprived of their liberty, actions were taken in their best interest.
We also looked at a selection of documentation used in the management and running of the service. This included quality assurance information, audits, stakeholder surveys, recruitment information for four members of staff, staff training records, policies and procedures and records of maintenance carried out on equipment.
Last updated 12:24:49 16th Jan 2018 - Update Now
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