About the service Henry Court is an extra care service registered to provide personal care support for older people, including those living with dementia. People using the service live in one-bedroom flats and have access to shared facilities, including a restaurant, communal lounges and garden.
CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. Not everyone who used the service received personal care. At the time of our inspection 21 people were in receipt of personal care.
People’s experience of using this service and what we found
People received their care calls at the times they expected, for the length of time agreed and from staff they knew. Risks associated with people’s care and their home environment had been assessed. However, some risk management plans lacked the detail staff needed to mitigate known risk. Action was planned to address this. People felt safe and staff understood how to keep people safe. Staff recruitment and people’s medicines were managed in line with the providers procedures and best practice medicine guidance. Some staff did not follow the provider's infection control policy and procedure to prevent the spread of infection. Action was taken to address this.
People and a relative had confidence staff had the skills and knowledge needed to provide safe care. Staff received the support and training they needed to fulfil their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The management team and staff understood and worked within the principles of the Mental Capacity Act (2005).
The service was well managed. Effective systems were in place to check the quality and safety of the service. Feedback from people, relatives and staff was used to improve and develop the service. Staff felt valued and supported. The management team and staff worked in partnership with other professionals to support people to achieve good outcomes. People expressed their satisfaction with the way the service they received met their needs and desired outcomes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 25 December 2019)
Why we inspected
The inspection was prompted in part due to concerns received about staff competencies, medicine management and the way the service was managed. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for henry Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.