Updated 15 September 2025
Date of Assessment: 22 September to 07 October 2025.
This assessment covered all five key questions. The service is an extra care provision supporting 24 older adults residing independently within three purpose-built shared buildings. Not all service users received personal care. The Care Quality Commission (CQC) inspects only where personal care is provided. Personal care includes assistance with tasks related to personal hygiene as well as support with domestic and social activities. We conducted the inspection as we received concerns from the general public and professionals.
The provider had governance arrangements in place to help monitor and improve the quality of care people received. Systems such as audits, care plan reviews, and checks on medication management were carried out regularly and used to support good oversight of the service. The leadership team was supportive and responsive to feedback from people using the service and their relatives. There were processes in place to review care delivery and make improvements where needed. Quality assurance activities, including reviews of risk assessments and care documentation, helped staff identify areas for improvement and take appropriate action. Where concerns were found, steps were taken to address them and monitor outcomes. The provider was actively engaged with the local authority in respect of recommendations given to improve care provision. People received safe care; staff appropriately assessed risks and planned to mitigate them. People received their medicines as prescribed and staffing levels were sufficient to meet individuals' needs. Care staff arrived punctually for visits and effectively completed allocated tasks. Staff were well-supported, receiving appropriate guidance and training to fulfil their roles competently. Healthcare needs were assessed and planned for, with staff actively monitoring people’s wellbeing and escalating any concerns. Consent was sought for care delivery, and people were treated with kindness and compassion. People were actively involved in planning their care, contributing to reviews, and were encouraged and supported to maintain their independence wherever possible.