Background to this inspection
Updated
6 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector, an assistant inspector 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: The service is a domiciliary care agency. It provides personal care to people living in their own homes. People's care and housing are provided under separate contractual agreements. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. 82 people supported by the service were assisted with personal care tasks.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.’
Notice of inspection: We gave the service 24 hours’ notice of the inspection visit because we needed to arrange to speak to people using the service and to ensure we would have access to the service office.
What we did: We reviewed information we had received about the service since they were registered. This included details about incidents the provider must notify us about, such as abuse. We sought feedback from the local authority. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we spoke with nine people to ask about their experience of the care provided. We spoke with 10 members of staff. This included; four support workers, two care coordinators, one wellbeing advisor, the dementia lead, the head of care and the registered manager. We reviewed a range of records. This included four people's care records. We also looked at four staff files, training and supervision records. We looked at records relating to complaints and records relating to the management of the service such as medicines and care plan audits. We contacted health professionals and gained the feedback from commissioners, continence services and a district nurse.
Updated
6 June 2019
About the service: ExtraCare Charitable Trust Brunswick Gardens Village is a domiciliary care agency registered to provide personal care to people living in their own homes. At the time of the inspection, the service supported 82 people who lived in apartments or bungalows on the Brunswick Gardens Village site, which is located in Sheffield.
ExtraCare Charitable Trust Brunswick Gardens Village has an office on site from where the domiciliary care service is managed and provides care and support, to some of the tenants, on a prearranged basis at certain times during the day. People’s care and housing were provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises. This inspection looked at people's personal care and support services. Not everyone living at Brunswick Gardens Village was receiving personal care. CQC only inspects the service being received by people provided with 'personal care', help with tasks related to personal hygiene and eating.
People’s experience of using this service:
Without exception, people told us they enjoyed living at Brunswick Gardens Village.
People received a comprehensive assessment of their care and support needs which gave clear guidance on the support people needed. Care was personalised and flexible so that each person's support reflected their preferences. People were supported to attend a range of groups and activities. The range of activities on offer was extensive and varied providing outstanding choices which supported people to live meaningful, active and fulfilling lives.
People using the service felt safe. Staff received training to enable them to recognise signs of abuse and felt confident in how to report them. People had risk assessments in place to enable them to be as independent as possible. People were able to remain independent whilst their safety and well being were balanced and promoted.
We saw outstanding examples of when people had been supported to maintain a healthy life and how this had significantly improved their lives. The provider’s policies and systems ensured people were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible.
People received care and support that was evidently person-centred. We received unanimous feedback of the positive impact this had on people and how they had changed people’s lives. We saw excellent examples of how the care and support people received enriched their lives through meaningful activities. The service was proactive in its response to concerns or complaints and people knew how to feedback their experiences.
Innovative approaches to support people living with dementia and other conditions were embedded in the service.
The service was well led by an experienced long-standing management team.The registered manager planned and promoted holistic, person-centred, high-quality care resulting in excellent outcomes for people. The values and culture embedded in the service ensured people were at the heart of the care and support they received.
Staff told us they received excellent support from management and they recommend the service to their loved ones. There was a very open and transparent culture and people were empowered to voice their opinions. Without exception, people told us the service was well-managed.
Rating at last inspection: ExtraCare Charitable Trust Brunswick Gardens Village was last inspected in October 2016 and was rated good.
Why we inspected: We inspected this service in line with our inspection schedule for services currently rated as good.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any information is received that we need to follow up we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk