Mosslands Care and Support

Updated 7 December 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.

Prior to the inspection visit we looked at information the provider sent us in the Provider Information Return (PIR). 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 also looked at all the information we had collected about the service, including previous inspection reports, information received and notifications the registered manager had sent us. A notification is information about important events which the service is required to tell us about by law.

This inspection visit took place on 12 and 13 November 2018. It was unannounced and was carried out by one inspector.On the first day we visited the office location to see the manager and care staff. We reviewed staff and management records and policies and procedures. On the second day of the inspection we visited people in their bungalows, sought their opinion of the service and reviewed their care and medicine records with their consent. We spoke with the registered manager, a senior care worker and four other care workers. As part of the inspection we spoke with three people who used the service. We received written feedback from four other people who used the service, one member of staff and a member of the local authority contract monitoring team. We looked at three people's care plans, daily notes, monitoring records and medication sheets. We reviewed two staff recruitment files and staff training records and supervision records. We also reviewed a number of other documents relating to the management of the service, such as audits, policies, incident forms, meeting minutes, compliments and concerns records.

Updated 7 December 2018

This inspection took place on 12 and 13 November 2018. The first day was unannounced.

At the last inspection in August 2016 we found that audits had been ineffective in addressing shortfalls in staff supervision and refresher training.

At this inspection we found the provider had taken action to address the shortfalls and had improved the service to an overall rating of good.

Mosslands Care and Support provides personal care to people living in self-contained bungalows at Mosslands Sheltered Housing (Extra Care). 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. The Care Quality Commission (CQC) does not regulate premises used for extra care housing; this inspection only looked at people's personal care service.

Mosslands provides 49 one and two bedroomed bungalows. Communal facilities at the scheme include a large day room where organised activities were held in the afternoon, a dining room where lunch could be purchased and assisted bathing facilities. A range of shops and other local amenities are within walking distance of the sheme and there are good public transport services. The majority of people living in the sheltered housing scheme live fairly active independent lives.

Not everyone living at Mosslands received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. At the time of our inspection the service was providing personal care to 12 people.

The service had a registered manager as required. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was present and assisted us on both days of the inspection.

People were protected from the risks of abuse. Risks were identified and managed effectively to protect people from avoidable harm. Recruitment processes were in place to make sure, as far as possible, that people were protected from unsuitable staff being employed.

People told us they were treated with care and kindness. They were consulted about their support and could change how things were done if they wanted to. People were treated with respect and their dignity was upheld.

People received care and support that was personalised to meet their individual needs. People were encouraged and supported to maintain and increase their independence by staff who knew them well and were well trained. People told us staff had the training and skills they needed when providing their care and support.

People's rights to make their own decisions were protected. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's right to confidentiality was protected and their diverse needs were identified and incorporated into their care plans where applicable.

People were given their prescribed medicines in a timely and safe manner.

People benefitted from a service which had an open and inclusive culture and encouraged suggestions and ideas for improvement from people who use the service, their relatives and staff.

People knew how to complain and knew the process to follow if they had concerns.

Staff were happy working for the service and felt well managed and supported.