You are here

ExtraCare Charitable Trust Reeve Court Village Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 25 December 2020

This report was created as part of a pilot which looked at new and innovative ways of fulfilling CQC’s regulatory obligations and responding to risk in light of the Covid-19 pandemic. This was conducted with the consent of the provider. Unless the report says otherwise, we obtained the information in it without visiting the Provider.

About the service

People using the service lived in extra care housing in Reeve Court Village, St. Helens. People lived in their own properties; either in apartments or in bungalows on the site. The Reeve Court Village also had some shared facilities such as a gym and a bistro.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. There were 43 people in receipt of care when we started this inspection. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

People’s well being and lives were greatly enhanced by the innovative and dynamic approaches of the service. The registered manager and the team had introduced innovative practices to enhance people's lives.The service was managed by a senior team who utilised the provider's quality monitoring systems and who also developed their own systems to ensure people had excellent care delivery.

The provider had implemented a new system of discreetly monitoring people who were living with dementia. This alerted staff to movement in properties indicating a person was, for example, not sleeping, not moving around as before, not using their heating or not preparing food of drinks for themselves.

People told us they felt safe and well cared for, especially during the Covid-19 pandemic. Good arrangements were in place to ensure people stayed safe and good infection controls were in place when staff delivered care and support.

Staff had been suitably trained in how to safeguard people from harm and abuse. Potential or actual harm was monitored and management of risks allowed for good outcomes for people. People with protected characteristics were extremely well supported by the open culture in the service.

The service had enough suitably recruited, inducted and trained staff to deliver care and give people support in all aspects of their lives. Staff were knowledgeable, highly motivated and extremely caring. Staffing levels were extremely responsive to people's changing needs as the service was trusted to make urgent care decisions by commissioners. The employment of two well-being advisors, as well as the team delivering direct care, helped people to stay as well as possible.

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. We were assured this service worked within the principles of the MCA. Care and support was delivered only with the consent of the person.

People told us the staff team were kind, caring, respectful and polite. People were consulted through regular surveys, meetings and by staff who delivered care. People told us their views were respected and any issues responded to swiftly.

People had appropriate levels of care delivered because a good system of care planning and delivery was in place. The nurse employed on site assessed and monitored people's health needs and helped them to access excellent levels of health care support. The provider also had a dementia and mental health well-being advisor who was trained in caring for people living with dementia and other mental health needs. This meant staff had ready access to specialist knowledge and practical support to allow people to stay as independent as possible.

Access to health care had continued at a high level during lockdown because these two members of staff had monitored any changes in vulnerable people and

Inspection areas

Safe

Outstanding

Updated 25 December 2020

The service was exceptionally safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 25 December 2020

At our last inspection we rated this key question as outstanding. We have not reviewed the rating at this inspection. This is because we have not reviewed all of the key lines of enquiry (KLOEs) in relation to effective.

Caring

Good

Updated 25 December 2020

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we have not reviewed all of the key lines of enquiry (KLOEs) in relation to caring.

Responsive

Good

Updated 25 December 2020

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we have not reviewed all of the key lines of enquiry (KLOEs) in relation to responsive.

Well-led

Outstanding

Updated 25 December 2020

The service was exceptionally well-led.

Details are in our well-Led findings below.