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 checked 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.
The inspection was prompted in part by notifications about incidents of falls, hospital admissions, safeguarding concerns and deaths. The information shared with CQC related to the incidents indicated potential concerns about the management of risks, falls, unsafe medicines management, staffing levels and staff training and leadership. Therefore, we explored aspects of current care and treatment provided during the inspection because we needed to be assured that people received safe care and treatment.
This service was selected to be part of our national review, looking at the quality of oral health care support for people living in care homes. The inspection team included a dental inspector who looked in detail at how well the service supported people with their oral health. This includes support with oral hygiene and access to dentists. We will publish our national report of our findings and recommendations in 2019.
This inspection took place on 24 October 2018 and was unannounced. The inspection team consisted of three inspectors which included a dental inspector, a specialist nurse advisor and an expert-by experience. The expert-by-experience had personal experience of caring for someone who uses this type of care service. This inspection was postponed within an hour of our arrival when we were informed about an outbreak which was contagious.
We returned to inspect the service on 12 November 2018 and this was unannounced. The inspection team consisted of two inspectors, an inspection manager, a specialist nurse advisor and an expert by experience. One inspector and the specialist nurse advisor returned on 14 November 2018, announced to complete the inspection.
Before the inspection, the provider had returned the completed Provider Information Return (PIR). This is the information we require providers to send us as least once annually to give some key information about the service, what the service does well and the improvements they plan to make. This was used to inform the judgements.
We reviewed information we held about the service. This included feedback received about the service and notifications the provider had sent us. Notifications provide information about important events which the provider is required to send us by law. We received feedback from commissioners from the local authority and health authority, who commission services from the provider, the Independent Advocacy Services and Healthwatch Leicester City, who are an independent consumer champion for people who use health and social care services. They raised concerns about the medicines management, care and treatment provided, care records and the management of the service.
During the inspection visit, we spoke with 12 people who used the service and 14 visitors and relatives of people who used the service. We made direct observations at meal times and used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with the four nurses, two senior care workers, eight care staff, two activity coordinators, a cook, housekeeping staff member and maintenance staff member. We also spoke with the clinical lead, office staff member, registered manager and the regional operations director. We reviewed a range of records. They included 12 people's care records and 28 peopleâs medicines and medicine administration records. We looked at five staff recruitment files, training records and records relating to the management of the service such as policies and procedures,
Last updated 02:06:55 18th Feb 2019 - Update Now
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