Background to this inspection
Updated
22 January 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 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.
Service and service type
This service provides care and support to people living in their own flats within this ‘extra care setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care living; this inspection looked at people’s personal care and support.
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. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we received about the service since they had been registered. We sought feedback from the local authority and professionals who work with the service. 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.
During the inspection
We spoke to one person supported by the service and four relatives by telephone prior to our inspection visit. We visited two people in their own homes during the inspection. We spoke to the regional manager, registered manager, team leader and two support workers.
We reviewed a range of records. This included two 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 looked at training data and quality assurance records. We reviewed additional information shared by the provider.
Updated
22 January 2020
About the service
Anderton Place is based within the community of Northwich. People using the service live in flats within the extra care setting. The service supported eight people and employed 11 staff at the time of our inspection. Not everyone who used the service received personal care. 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.
People’s experience of using this service
People were protected from the risk of harm and abuse. Clear policies and procedures were in place, staff had received training and felt confident to raise any concerns they had.
Medicines were managed safely by trained and competent staff. Staff had access to medicines policies and procedures as well as best practice guidance. Medication administration records (MARS) were fully completed and regularly audited to identify any areas for development and improvement. Staff had received infection control training and understood how to minimise the risk of infection being spread.
People were supported by staff that had been safely recruited and had received an induction and training suitable for their role. There were enough staff to meet people’s needs and people told us they knew all the staff that visited them.
People’s needs were assessed before they were supported by the service. Each person had a care plan that reflected their personal preferences and daily routines. Care plans held sufficient information to guide staff on how best to meet people’s needs and these were regularly reviewed and updated. People and their relatives spoke positively about the staff and told us they were kind, caring and compassionate. People’s independence was promoted, and they were consistently offered choice.
People’s privacy and dignity was respected. People spoke positively about the service and the staff that supported them. There were audit systems in place that identified areas for development and improvement. Governance systems were in place for the provider to have full oversight of the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 31 December 2018 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.