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ExtraCare Charitable Trust Humber Court Good

Reports


Inspection carried out on 8 August 2017

During a routine inspection

This inspection took place on 8 and 9 August 2017. We gave the provider 24 hours’ notice of our visit so they could arrange for people and staff to be available to talk with us about the service.

Humber Court provides personal care and support to older people who live in their own flats located within the premises at Abbey Park. There are 46 flats and at the time of our visit 23 people were receiving support with personal care.

At the last inspection in July 2015, the service was rated 'Good'. We found the service continued to be good but was exceptionally well led.

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 2008 and associated Regulations about how the service is run.

The feedback we received from people was very positive. People told us they had trust in staff and the management and they considered the service to be friendly and homely.

People shared positive relationships with staff and were extremely complimentary of them and the care they received. People felt consulted and listened to about how their care should be delivered. People and staff spoke very highly of the registered manager and gave very positive feedback about them. We found the registered manager to be committed and passionate about their role in providing a quality service to people. They recognised the importance of providing care and support in accordance with people’s wishes to enhance their lives. This included providing social and community engagement opportunities for people, which was evident throughout our inspection.

There were examples of the service being exceptionally responsive to supporting people whose needs were complex and tended to change. People we spoke with could not think of anything about the service that could be improved.

People at Humber Court were able to access in-house healthcare professionals when required, this included an in-house wellbeing nurse. They were also supported to access GP’s and hospital services if needed to maintain their health.

The provider valued their staff team and actions were taken to develop staff to their full potential. Some staff had worked for the service for a number of years demonstrating their commitment to the service and the people they supported. The staff were actively encouraged to share innovative ideas and be involved in projects which would enhance people’s lives. Staff told us they felt valued and respected. They fully understood their role and the importance of implementing the values of the organisation so people received personalised care.

The provider was committed to ensure people received the quality of care and services they would expect. They checked the quality of service through regular communication with people and staff and audit checks of the service. There were ‘resident meetings’ and a programme of checks and audits completed by the registered manager to support this process. The provider understood that people’s experiences were key in providing a quality service and also in ensuring it continuously improved.

The registered manager made sure staff had a full understanding of people’s needs. Staff demonstrated a strong commitment to promoting people's independence and worked closely with people to make sure they were confident in their abilities. Care staff assisted people to prepare meals, or attend the restaurant at Humber Court if they wished where a choice of nutritious meals were available.

The safety of people at the service was taken very seriously, staff had been trained to protect people and identify signs of abuse. Staff understood their responsibilities to follow the provider's policies in relation to safeguarding people and reported any concerns they identif

Inspection carried out on 8 July 2015

During a routine inspection

Humber Court provides personal care and support to older people who occupy or own their own flats located within the premises at Abbey Park. There are 46 flats in total and at the time of our visit 21 people were receiving support with personal care. We were told the care provision at Humber Court had reduced over the last six months. This was due in part to people moving to other homes so they could receive increased specialist care. As a result, a decision was made to refurbish and sell some of the flats. This was seen as a positive move to enhance the community at Humber Court.

The inspection took place on 8 July 2015. We gave the provider 24 hour’s notice of our visit so that they could arrange for people and staff to be available to talk with us about the service.

A registered manager was 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 2008 and associated Regulations about how the service is run.

People told us they felt safe at Humber Court and were supported by a consistent group of staff who were kind, caring and respectful towards them. Staff were trained in safeguarding adults and understood how to protect people from abuse. Checks were carried out prior to staff starting work to ensure they were of good character to work with people who used the service.

We found there were enough suitably trained staff to deliver safe and effective care to people. People told us staff had the right skills and experience to provide the care and support they required and did not rush their care when they supported them. There were procedures for staff to follow to minimise risks to people’s safety such as how to manage risks associated with people’s medicines. Information in care files supported staff in managing risks and we found these were being appropriately managed so that people’s needs were met. Care plans also contained relevant information to help staff provide the personalised care people required.

Care staff helped people to prepare meals or attend the restaurant where a choice of nutritious meals were available. A varied programme of activities and entertainment was organised and regularly provided by the service which people could participate in if they wished. People had an opportunity to say what social activities and entertainment they would like by attending ‘residents meetings’ where these were discussed. This meant there were effective arrangements in place to meet people’s social care needs.

The registered manager and staff understood the principles of the Mental Capacity Act 2005 (MCA) and supported people in line with these principles. People were involved in their care and their opinions were sought about the service they received to make sure this met their preferences. There had been no complaints received about the service but people felt confident to raise any concerns or issues with the registered manager if they needed to.

The provider and registered manager were committed to ensure people received the quality of care and services they would expect. There were processes to monitor the quality of the service provided and understand the experiences of people who used the service. This was through regular communication with people and staff, checks on records, ‘residents meetings’ and a programme of checks and audits.

Inspection carried out on 22 October 2013

During a routine inspection

During our inspection we spoke with five people who used the service and a relative to find out their experiences of the service. We also spoke with three members of care staff and the manager about working practices at Humber Court.

We found people were very complimentary of the care and services provided.

They told us:

�It�s one of the best things that has happened to me since I got older. It has taken the worry off the family.�

�Whenever you want you can have a doctor or dentist, they supply them.�

At lunchtime we saw the restaurant was busy with most people living at Humber Court choosing to have a hot meal. People were complimentary of the meals provided. One person told us:

�The food is perfect, dinner every day and a beautiful pudding. You can choose what you want.�

We saw a range regular entertainment and social activities took place and some people told us they enjoyed participating in these.

We observed that staff were caring and supportive towards people. People we spoke with were positive about the staff. They told us:

�The staff are marvellous, they can�t do enough to help.�

�I am fine here, the staff are fantastic.�

We saw that staff were subject to regular training and supervision to make sure they delivered safe and effective care to people.

We saw there was a system to monitor the quality of care and services that people received. A recent survey showed a ninety per cent satisfaction with the service overall.

During a check to make sure that the improvements required had been made

We found the provider had taken the action required to improve outcomes for people using the service.

Inspection carried out on 26 September 2012

During a routine inspection

We spoke with four people living in the flats at Humber Court. They were positive in their comments about the care and support they were receiving. They told us: �They look after us very well if you want them to.� �It�s smashing, good company.� �Every day they check on me to see if I am alright, they make me a cup of tea, make my breakfast and I have my tea upstairs (in their flat). They are very good to me.�

We saw that people received varying levels of support depending on their needs with some people receiving visits during the day and night. The support provided included help with personal hygiene, continence care, mobility, nutritional care, meal preparation and administration of medicine.

People told us they enjoyed the meals provided at lunchtime. Comments included: �Lovely meals, the food is absolutely marvellous.� �We order food two days in advance and there�s lots of choice. The food is first class.� People also told us they enjoyed the range of social activities provided.

We saw that staff were kind and respectful towards people. People told us they were happy with the staff. Comments included: �I get on with people and staff. �They are good people here.�

We identified from records in place that staff did not always make their calls to people within the agreed timeframes. This was acknowledged by the service and we were told about plans for this to be improved.