Surrey KT16 8JW
Telephone: (01932) 568090
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.
This inspection took place on 30 January 2018 and was unannounced.
The inspection team included an inspector, a nurse specialist advisor 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
Before the inspection visit we looked at all the information we held about the service. This included notifications of significant events and safeguarding alerts.
The provider completed a Provider Information Return (PIR) in March 2017. 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.
During the inspection visit we spoke with eight people who lived at the service, four visiting relatives and friends and one visiting healthcare professional. The registered manager was on leave. We met the provider's representatives including the nominated individual and staff on duty who included, nurses, care assistants, senior care assistants, team leaders, catering staff, the training manager, housekeeping and maintenance staff and the activities coordinator.
We observed how people were being cared for and supported. Our observations included using the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experiences of people who could not speak with us.
We looked at the care plans for six people who used the service and part of the care records for another six people. We looked at the staff recruitment files for six members of staff, records of staff training, support and supervision and meeting minutes. We also viewed other records used by the provider for managing the service, these included audits and records of complaints. We inspected the environment and equipment used in supporting people. We also inspected how medicines were being managed and stored, record keeping and administration of these.
At the end of the inspection we gave feedback to the provider's representatives outlining the key findings of our inspection.
Following our visit we had feedback from the local authority quality assurance manager who had visited the service on 12 February 2018.
Last updated 02:57:50 20th Aug 2018 - Update Now
To view the latest inspection report compiled by the CQC please click here »