Archived: Carewatch (Turnberry Court)

Updated 4 May 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 carried out by 1 inspector, a member of CQC’s medicines team 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 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 briefly with 2 people who used the service and spoked at length with 9 relatives of others about their experience of the care provided. We spoke with the deputy manager, the head of extra care and the quality officer. We emailed a questionnaire to 12 care workers to seek their views of the service and received a reply from 6.

We reviewed a range of records. This included 5 people’s care records and multiple medication records. We looked at 5 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. Following the inspection, we reviewed a range of other documents we requested from the provider such as minutes of meetings.

Updated 4 May 2023

About the service

Carewatch (Turnberry Court) is an extra-care sheltered housing service providing personal care and support to people living in their own flats. It provides a service to adults with a range of needs, such as dementia, mental health and those living with a learning disability. The service provides 38 one-bedroom and 2 two-bedroom flats within one building. There were 36 people using the service 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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People’s experience of using this service and what we found

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support

People who used the service were supported by caring staff to exercise their choices and remain as independent as possible. The staff worked in a person-centred way and knew people’s individual needs and how to meet these. The staff were supported by the management team to work together for the benefit of people. People’s relatives told us they were happy and had meaningful and fulfilling lives. 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.

People were supported to pursue their interests and achieve aspirations and goals. People took part in social activities of their choice.

Staff enabled people to access specialist health and social care support in the community. People received their medicines safely and as prescribed.

Right Care

The staff were kind and caring. Staff protected and respected people’s privacy and dignity. People’s needs were met by staff who were well trained and supported.

Staff received training in safeguarding adults and understood how to protect people from poor care and abuse. People were supported to maintain their skills and interests. People’s communication needs were understood and met.

Right Culture

Most relatives and staff told us the culture of the service was good, and felt people received good quality care and support. Written comments from people showed they were happy with the service and the care workers who supported them. The management team had worked hard to make improvements since the last inspection and this had created an improvement to people’s quality of life. Overall, the staff demonstrated a trust in the management team and told us they were happy, enjoyed their work and felt appreciated.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 April 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced inspection of this service on 15 and 17 March 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and well-led.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last inspection, by selecting the ‘all reports’ link for Carewatch (Turnberry Court) on our website at www.cqc.org.uk.

Follow up

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