Updated 25 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one adult social care inspector.
Service and service type:
The provider provided specialist 'extra care' housing. Extra care housing is a purpose-built building or an adapted single accommodation in a shared building or site. The accommodation was bought or rented and was the person’s own home. People's care and accommodation 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.
People using the service lived in bungalows and flats which were on one site.
The service had a manager registered with the CQC. 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:
This inspection was unannounced due to the staff and people we needed to speak to being on one site.
We carried out the inspection visit on 28 March 2019 where we visited the office to see the registered manager, nominated manager and staff. We also spent time with people that used the service, looked at care records and policies and procedures.
What we did:
Before the inspection we looked at information we held about the service:
• Prior to the inspection we looked at information about the service including notifications and any other information received from other agencies such as the Local Authority. Notifications are information about specific important events the service is legally required to report to us. We reviewed the Provider Information Record (PIR). The PIR was information given to us by the provider. This is a form that asks the provider to give some key information about the service, tells us what the service does well and the improvements they plan to make. This information was used to support the planning of the Inspection.
During the Inspection:
• We spoke to seven members of staff, two relatives and five people using the service, additionally we spoke with the Registered Manager and nominated manager.
• Care records were reviewed for four people and medicines audits and systems for managing people’s safety were reviewed.
• We spent time with people that used the service and observed how staff supported and interacted with them.
• We reviewed staff training records and other records related to the running of the service.
• We looked at the systems and processes used in managing the service.
• We reviewed the previous inspection report and the provider's website.