Radis Community Care (Park View)

Updated 9 February 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

This inspection was carried out by one inspector.

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 bought or 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 the service 4 days’ 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.

Inspection activity started on 16 December 2022 and ended on 9 January 2023. We visited the location’s service on 9 January 2023.

What we did before the inspection

We used information gathered as part of monitoring activity that took place on 1 April 2022 to help plan the inspection and inform our judgements.

We reviewed information we had received about the service since they registered. 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 used telephone calls to engage with people using the service and relatives. We used our visit to the service to speak to staff. We also used electronic file sharing and our visit to enable us to review some of the documentation requested. This included documents within 7 people's care records and various medication records. We looked at staff recruitment, training and staff supervision. A variety of records relating to the management of the service were also reviewed.

We spoke with 2 people and 3 relatives of people who used the service about their experience of the care provided. We spoke with 6 members of staff including the registered manager, area manager, team leader and care staff.

Updated 9 February 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Radis Community Care (Park View) is a domiciliary care service and extra care scheme registered to provide personal care to people living in their own homes. The service is registered to support people both older and younger adults, some of whom may have mental health needs, a physical disability, or were sensory impaired. The care agency can also support people with a learning disability and autism. At the time of the inspection 13 people were using the domiciliary care agency at the extra care housing scheme. The extra care housing scheme building had 34 flats with shared rooms, a restaurant and a shared garden.

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

Right Support:

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 systems in the service supported this practice. To enable people to have as much control over their own lives as practicable staff encouraged people to be as independent as possible. This support helped people to remain living in their own homes.

Staff understood the importance of listening to and respecting people’s choice. They supported people who required assistance with their medicines to encourage the best possible health outcomes for them.

Staff had training on infection control practices, and we saw, and they told us that Personal Protective Equipment (PPE) such as disposal face masks, gloves and aprons were readily available and used.

Right Care:

Staff cared for people kindly. They understood and responded to people's individual care and support needs and wishes.

People’s needs were assessed prior to them moving into the extra care housing scheme to ensure that if they required personal care support, staff could meet those needs.

Staff knew how to protect people from harm. They were trained to recognise, and report poor care or harm. Staff respected and protected people's privacy and dignity.

The management team and staff worked with other health and social care professionals to maintain people’s well-being wherever possible.

Right Culture:

Staff told us the registered manager updated them on guidance and legislation updates. However, the registered manager was not aware that they needed to implement the guidance Right support, right care, right culture.

Staff were trained to support people. This included training on supporting people with a learning disability. People told us they could communicate with staff and the management team. They and their relatives, where appropriate felt involved in the agreeing their family members care decisions.

Incidents and accidents were documented, and action was taken when needed. This included staff supervisions to discuss safe medicines administration to try to reduce the risk of the recurrence of errors.

Audits were undertaken to monitor the quality of the service. Surveys were sent to people to ask for feedback on the service provided. Staffs communication was good.

We have recommended that the provider ensures that all registered managers are fully aware of all the guidance and legislation they should be working in line with.

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

This service was registered with us on 11 August 2021 and this is the first inspection. The last rating for the service under the previous provider was good, published on 5 November 2019.

Why we inspected

This inspection was based on the service being unrated since the new provider registered with the CQC.

Recommendations

We have recommended that the provider ensures that all registered managers are fully aware of all the guidance and legislation they should be working in line with. For example, Right support, right care, right culture.

Follow up

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