Background to this inspection
Updated
18 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
This service provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours' notice of the inspection visit because we needed to be sure that the registered manager would be available to facilitate the inspection.
What we did before the inspection
We reviewed information we had received about the service. This information helps support our inspections. We used all of this information to plan this inspection.
inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We spoke to a member of the local authority who had a role in safeguarding investigations at the service and in reviewing the quality of the care.
During the inspection
We spoke with seven people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the registered manager, the provider's area manager and care staff. We observed staff and people in the extra care housing communal areas and in people’s accommodation.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider regarding policies and procedures and care of people.
Updated
18 March 2020
About the service:
Radis Community Care (Chesil Lodge) provides personal care and support to people living in 'extra care' housing. Extra care housing is purpose-built or adapted 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 services.
At the time of our inspection the service was providing a service for 40 people with a variety of care needs, including people living with physical frailty or memory loss due to the progression of age.
People’s experience of using this service:
People received safe care and risks to people were assessed and there were corresponding care plans to mitigate these. People said they felt safe with staff. Staff had a good awareness of people’s rights regarding safeguarding procedures. The local authority safeguarding team confirmed the provider had worked closely with them to make improvements in order that people received safe care.
People received individualised care and support which was person- centred. Each person or their relative said they were very satisfied with the service provided. People told us their care needs were discussed with them, so they got the care they needed. One person, for example, said, “They (staff) always make me feel safe. They put you at ease. They make sure you don’t lose your dignity.” Staff provided support to people at the agreed times. People were provided with a pendant or watch to alert staff if they needed assistance; people confirmed staff responded promptly when they used this facility.
People said how pleased they were to live at, and, be supported at Chesil Lodge. For example, one person said, “I love it. It’s wonderful. I’ve never been so happy.” Another person said, “It’s a very nice place to be.”
People were supported with their medicines and health care needs.
Staff were trained and supervised. Staff felt supported and said they worked well as a team. The provider had plans to further develop staff skills and training.
People had consented to their care and said they were involved in the assessment and review of their care.
People said they had good relationships with the staff who they valued. For example, one person said of the staff, “I love them. They are very good to me.” We observed people and staff talking together, sharing experiences and chatting. Staff treated people with kindness and respect as well as promoting people’s dignity and privacy.
People said they were supported to maintain their independence. The provider encouraged people to set up their own meetings to discuss activities and religious observances.
The provider had a system for dealing with complaints which included acknowledging any complaint, investigating and responding to complainants. These were used to improve the quality of care.
The views of people and their relatives were obtained using survey questionnaires and the results of these were used to make improvements.
The local authority who commissioned services from Radis Community Care (Chesil Lodge) said the current management of the service had made improvements to the quality of the service following a period of initial problems after the service started in January 2019.
There were systems of audit and monitoring to check on the safety and quality of the service along with plans to develop and improve. Incidents were reviewed so that lessons could be learnt. There was an open culture where the registered manager, staff and provider worked with other agencies, as well as listening to people and staff, as part of continuous learning and improvement.
More information is in the full report below.
Rating at last inspection: This was the first inspection of the service.
Why we inspected: This was a planned inspection.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Good.