2 Wheeler Street
Humberside HU3 5QE
Telephone: (01482) 352938
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 13 and 22 November 2017 and was unannounced.
Two Adult Social Care Inspectors and an expert-by-experience undertook the inspection. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert-by-experience had expertise of older people living with dementia.
Prior to the inspection, we contacted the local authority commissioners and safeguarding team to gain their views about the service. We looked at notifications that the provider had submitted to the Care Quality Commission (CQC). Notifications are forms, which the provider has to submit to us by law. They tell us how the provider manages incidents and accidents for people in their care. We also looked at the Enter and View report completed by Healthwatch. The Enter and View report identifies areas of good practice and makes recommendations for improvements.
Before the inspection, the provider completed a Provider Information Return (PIR). 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.
During the inspection, we talked with four people who used the service and five relatives. We also spoke with the regional manager, the registered manager and four members of staff.
We looked at five peopleâs care records and six medication administration records (MARs). We also 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 observed how staff interacted with people in the communal areas of the service and we completed a tour of the building.
We reviewed how the service used the Mental Capacity Act 2005, to ensure that when people were assessed as lacking capacity to make their own decisions, best interest meetings were held to make important decisions on their behalf.
We saw documentation and records relating to the day-to-day running and management of the service. These included the recruitment information for three members of staff and five supervision and appraisal records. We viewed staff induction and training documentation and staffing rotas. We also looked at the certificates for maintaining equipment, the business continuity plan, and policies and procedures.
After the inspection, we asked the provider to send us further information about the vision and values of the organisation, the statement of purpose and updated behaviour management care plans. This information was received by the requested time, which helped us to make a judgement about the service.
Last updated 03:23:55 21st May 2018 - Update Now
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