3 August 2016
During a routine inspection
The ExtraCare Charitable Trust Bushfield Court provides personal care for people living in a purpose built scheme where there are individual flats and bungalows with shared facilities. These included a restaurant area, lounge areas, fitness facilities and activity rooms. There were 46 people receiving personal care when we inspected. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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 and associated Regulations about how the service is run.
People who used the service and their representatives spoke highly of the registered manager and staff. All staff we spoke with were highly motivated and committed to ensuring people had the best quality of life possible.
People’s safety was taken seriously by the registered manager and staff who understood their responsibilities to protect people's health and well-being. Staff knew what action to take if they suspected abuse. Risks to people who used the service and staff safety both internally and externally to the person's home had been assessed and recorded, with measures put in place to manage any hazards identified. People told us they received their medicines as prescribed and at the correct time. They also felt that if they needed extra pain relief or other medicines these were provided. People told us there were enough staff to support them when they needed or wanted help or assistance.
Where needed people were supported to eat and drink enough to remain healthy. People had access to other healthcare professionals that provided treatment, advice and guidance to support their health needs.
Staff were supported to develop and progress within their role by the provider and registered manager. People received consistent support from the same staff who knew them well. The provider employed staff dedicated to people’s well-being and who understood the complexities of supporting people living with dementia or mental health needs.
We received very positive feedback about the care, the provider and the staff. People who used the service and their relatives felt staff went out of their way to support them in a kind, caring manner and went above and beyond what was expected to meet their needs. Staff developed positive, respectful relationships with people and were kind and caring in their approach.
People and relatives said skilled staff provided excellent care which met people's individual needs. This was confirmed by health professionals who told us they had evidenced people had achieved very positive outcomes whilst using the service particularly around increased confidence and independence. People were supported to plan and achieve goals and objectives relating to their independence and social life. People’s confidence and self-belief were supported by additional staff that worked with them to do this.
The provider and registered manager were committed to providing a high quality service to people and to its continuous development as an organisation. Feedback from people, their representatives and others was continually sought and used as an opportunity to improve the service people received. The provider and registered manager also demonstrated strong links with the local community.