Mount View Avenue
off Seamer Road
North Yorkshire YO12 4EQ
Telephone: (01723) 821595
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 notification of an incident following which a person using the service died. This is being investigated by the safeguarding team from the local authority.
The information shared with CQC about the incident indicated potential concerns about the management of risk of falls from beds and unsafe equipment. This inspection examined those risks.
This inspection took place on 6 October 2017 and 7 November 2017. It was unannounced on day one and announced on day two. The inspection team consisted of three inspectors on day one and three inspectors and three experts-by-experience on day two. 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 three experts-by-experience had knowledge of older people and people living with dementia.
Prior to our inspection, we looked at the information we held about the service, which included notifications sent to us since the last inspection. Notifications are when providers send us information about certain changes, events or incidents that occur within the service. We also contacted North Yorkshire County Council (NYCC) safeguarding and commissioning teams. We had not requested the provider to submit a provider information return (PIR). 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.
At this inspection we spoke with the regional manager, registered manager and deputy manager. We also spoke with six members of staff and two visiting health care professionals. We talked with 25 people who used the service and nine visitors over the two days of inspection. We 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 looked at seven peopleâs care records, including their initial assessments, care plans and risk assessments. We looked at medication administration records (MARs) where staff were responsible for administering medicines. We also looked at a selection of documentation pertaining to the management and running of the service. This included quality assurance information, audits, recruitment information for three members of staff, staff training records, policies and procedures, complaints and staff rotas.
Last updated 10:51:35 11th Apr 2018 - Update Now
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