Background to this inspection
Updated
28 February 2018
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 was a comprehensive inspection.
The inspection took place on 9 January 2018 and was announced.
We gave the service 24 hours’ notice of the inspection visit because it is small and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
Inspection site visit activity started on 9 January and ended on 15 January 2018. It included visiting the office where the service was managed from, speaking to people around the housing complex and speaking to people via telephone to gain their views on the care provided. We visited the office location on 9 January 2018 to see the registered manager and office staff; and to review care records and policies and procedures.
Before the inspection we reviewed information we had about the service, including previous inspection reports and notifications the provider sent to us. A notification is information about important events which the provider is required to tell us about by law. Before the inspection, the provider completed a Provider Information Return. 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.
We spoke with four people who used the service. We also spoke with the registered manager and four staff members.
We looked at the care plans and associated records of three people. We reviewed other records, including the provider's policies and procedures, incident reports, staff training records, staff rotas and quality assurance questionnaires.
Updated
28 February 2018
This service provides care [and support] to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is [bought] [or] [rented], and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care [and support] service. At the time of inspection, 24 people were using the service. Others who lived at Grove Place could receive care and support should they need it in an emergency.
At the last inspection, the service was rated Good
At this inspection we found the service remained good.
Why the service is rated good
Risks to people were assessed, monitored and mitigated. Where incidents occurred, these were analysed for reflection and future learning. Staff received training in safeguarding, which helped them identify and prevent people coming to harm. There were sufficient staff in place and the provider had thorough pre-employment checks in place to determine their character and skills. There were systems and processes in place to reduce the risk of infections and safely manage people’s medicines. Staff understood how to put this guidance in place.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were mostly independent in their nutritional and healthcare needs. However, where required the support needed was clearly identified. Staff received ongoing training and support in their role to promote effective care.
People were given choice and flexibility around their care arrangements. The registered manager and staff worked in partnership with people to provide services which were personalised, responsive and met people’s needs. There were policies in place to manage people’s complaints and the registered manager investigated concerns thoroughly when they arose.
Staff were competent, confident and caring in their role. People were treated with dignity and respect and staff gave them choices about how their care was delivered.
The registered manager was fully involved in the day to day running of the service. They understood people’s needs and were responsive to feedback when given. The registered manager carried out a series of checks to monitor the quality and safety of the service and worked in partnership with other stakeholders to provide support and resources to people.
Further information is in the detailed findings below.