Kitts End Road
Hertfordshire EN5 4QE
Telephone: (020) 8449 0324
Registered Manager: Ndlovu, Nqobani
Provider Name: Bupa Care Homes (CFChomes) Limited
Care home beds: 44
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 membership of the inspection team comprised of two inspectors, a specialist advisor in nursing, a pharmacist 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.
Prior to the inspection we reviewed the information we had about the service including notifications of significant incidents affecting people using the service.
Some people could not let us know what they thought about the home because they could not always communicate with us verbally. Because of this we spent time observing interactions between people and the staff who were supporting them. We used the Short Observational Framework for Inspection (SOFI), which is a specific way of observing care to help to understand the experience of people who could not talk with us. We wanted to check that the way staff spoke and interacted with people had a positive effect on their well-being.
We spoke with ten people who use the service and two relatives. We also spoke with six care staff, one nurse, the chef, the clinical services manager, an activities coordinator, the registered manager and the regional director.
We also looked at seven peopleâs care records, staff duty rosters, eight staff files, 35 medicines administration records (MARs), a range of audits, the complaints log, minutes for residents meetings, staff supervision and training records, the staff training matrix and a number of policies and procedures for the service.
Last updated 11:17:52 23rd Jan 2019 - Update Now
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