OSJCT Isis Court

Updated 14 March 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 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 the 2 February 2018. It was an announced inspection. We told the provider two days before our visit that we would be coming. We did this because the registered manager is sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that someone would be in.

This inspection was carried out by one inspector 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.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give us key information about the service, what the service does well and improvements they plan to make. We reviewed the completed PIR and notifications we had received. A notification is information about important events which the provider is required to tell us about in law.

We spoke with three people, three relatives, one visitor, three care staff, the domiciliary care trust manager and the registered manager. We also spoke with a visiting healthcare professional. We looked at four people’s care records, three staff files and medicine administration records. We also looked at a range of records relating to the management of the service. The methods we used to gather information included pathway tracking, which is capturing the experiences of a sample of people by following a person’s route through the service and getting their views on their care.

Updated 14 March 2018

We undertook an announced inspection of OSJCT Isis Court on 1 February 2018.

OSJCT Isis Court provides extra care housing for up to 20 older people. The office of the domiciliary care agency OSJCT Isis Court is based within the building. The agency provides 24 hour person centred care and support to people living within OSJCT Isis Court, who have been assessed as requiring extra care or support in their lives. On the day of our inspection 17 people were receiving a personal care service.

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 service.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good overall.

Why the service is rated Good:

The service was exceptionally well led by a highly motivated registered manager who promoted a service that put people at the forefront of all the service did. There was a very positive culture that valued people, relatives and staff and promoted a caring ethos. The registered manager led by example and displayed a detailed knowledge of people that enabled them to create an environment where people’s condition and well-being were a key to the delivery of a service that benefitted people’s lives.

The registered manager monitored the quality of the service and strived for continuous improvement. There was a very clear vision to deliver high quality care and support and promote a positive culture that was person-centred, open, inclusive and empowering. This achieved excellent outcomes for people and contributed to their improved quality of life. Staff felt empowered and inspired by the registered manager and shared his vision for a “Family environment” at the service. The registered manager was robustly supported by the domiciliary care trust manager and provider.

People remained safe living in the service. There were sufficient staff to meet people's needs and staff had time to spend with people. Risk assessments were carried out and promoted positive risk taking which enabled people to live their lives as they chose. People received their medicines safely.

People continued to receive extremely effective care from staff who had the skills and knowledge to support them and meet their needs. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to access health professionals when needed and staff worked closely with people's GPs to ensure their health and well-being was monitored.

The service continued to provide support in a caring way. Staff supported people with kindness and compassion. Staff respected people as individuals and treated them with dignity. People were involved in decisions about their care needs and the support they required to meet those needs.

People had access to information about their care and staff supported people in their preferred method of communication. Staff also provided people with emotional support.

The service continued to be responsive to people's needs and ensured people were supported in a personalised way. People's changing needs were responded to promptly and their views were sought and acted upon.