Hartley Place

Updated 12 January 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was completed by two inspectors.

Service and service type

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 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 and support service.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period of notice as 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 used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke to 4 people who used the service and 1 family member to understand their experience of the service. We spoke to 4 staff members including team leader and health care assistance both on day and nights shifts.

We reviewed 3 care records and additional records in relation to the management of medication. We reviewed multiple records in regarding to the management of quality and assurance of the service.

After the inspection

We reviewed information the registered manager sent and continued to seek clarification from the provider to validate evidence found.

Updated 12 January 2023

About the service

Hartley Place is an Extra care service that provides care to people living in a number of apartments and bungalows. Hartley Place has a 24 hour / 7 days per week on-site care team. The service also offers a hairdressing salon and bistro. At the time of our inspection there were 18 people using the service.

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 and what we found

Medicines were not always used safely. The gap between time sensitive medication was not sufficient. Routine audits were completed, however follow up actions when improvements were identified were not always clear. Information was stored on different electronic systems, which made it difficult to find some information.

Care plans did not always accurately reflect a person’s current needs and were not always consistent. Staff understood their responsibilities for safeguarding people from abuse and the risk of abuse. Safe recruitment processes were followed. Staff spoke positively about the training and support they received. Relevant training was in place.

People who use the service were happy with the support they were receiving; however, we identified areas which needed to be further developed and improved.

Systems were in place to enable people to raise both complaints and compliments and these were viewed by management.

People were aware of the compliments and complaints procedure and there was evidence these were acted upon. People told us the staff were caring and promoted choice. Staff spoke highly of the people they supported.

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

Rating at last inspection

This service was registered with us on 08 September 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.