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ExtraCare Charitable Trust Rosewood Court Good

Reports


Inspection carried out on 15 April 2019

During a routine inspection

About the service: The Extra Care Charitable Trust Rosewood Court is a supported living complex. The service provides personal care and support to older people. People either own their property on site or have a tenancy agreement.

People’s experience of using this service:

• People received safe care and were protected against avoidable harm, abuse, neglect and discrimination.

• Risks to people’s safety were assessed and strategies were put in place to reduce the risks.

• The recruitment practices ensured only suitable staff worked at the service.

• Staff were employed in sufficient numbers to meet people’s needs.

• Where the provider took on the responsibility, people’s medicines were safely managed.

• Staff received training that enabled them to have the skills and knowledge to provide effective care.

• Staff received ongoing support from the registered manager.

• Where the provider took on the responsibility, people were supported to maintain good nutrition and hydration.

• People were treated with kindness, compassion and respect.

• Staff encouraged people to maintain their independence.

• People and their relatives were involved in the care planning and reviews of their care.

• People's needs were assessed, and the care provided met their needs.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

• Systems were in place to continuously monitor the quality of the service.

• The service worked in partnership with outside agencies.

Rating at last inspection: Good (report published October 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection carried out on 26 September 2016

During a routine inspection

This inspection took place on 26 September 2016 was announced.

This was the second comprehensive inspection carried out at Rosewood Court.

Rosewood Court is a supported living complex managed by The Extra Care Charitable Trust. The service is situated close to the town centre of Wellingborough and offers support to older people. People either own their property on site or have a tenancy agreement. Many of the current tenants have support from the in house personal care agency.

The service had a registered manager. 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 and associated Regulations about how the service is run.

People felt safe. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.

Staff received regular training that provided them with the knowledge and skills to meet people’s needs. They were well supported by the registered manager and had regular one to one supervision and annual appraisals.

Staff sought people’s consent before providing any care and support. They were knowledgeable about the requirements of the Mental Capacity Act (MCA) 2005 legislation. Where the service was responsible people were supported by staff to access food and drink of their choice to promote healthy eating. If required, staff supported people to access healthcare services.

People were treated with kindness and compassion by staff; and had established positive and caring relationships with them. People were able to express their views and to be involved in making decisions in relation to their care and support needs. Staff ensured people’s privacy and dignity was promoted.

People received care that was responsive to their needs. Their needs were assessed prior to them receiving a service. This ensured the care provided would be appropriate and able to fully meet their needs. People’s care plans were updated on a regular basis or when there was a change to their care needs. The service had a complaints procedure to enable people to raise a complaint if the need arose.

There was a culture of openness and transparency at the service. Staff were positive about the management and leadership which inspired them to deliver a quality service. The service had quality assurance systems in place, which were used to good effect and to continuously improve on the quality of the care provided.

Inspection carried out on 16 November 2015

During a routine inspection

This inspection took place on 16 November 2015 and was announced.

Rosewood Court is an independent living complex managed by The Extra Care Charitable Trust. The service offers support to older people who either own their property on site or have a tenancy agreement. Many of the current tenants have support from the in-house personal care agency. Support is assessed and provided within a banding of five levels of care. There were 29 people receiving care at the time of our inspection.

The service had a registered manager. 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.

During this inspection we found that staffing numbers were not always sufficient to ensure people’s care and support needs could be met in a timely manner. The recording of medicines did not consistently follow best practice guidelines.

Staff had not received up to date training in all essential core subjects to ensure they were qualified, competent and skilled to deliver care or treatment to service users.

Personal information was not stored securely and kept confidential at all times.

The provider had internal systems in place to monitor the quality and safety of the service but these were not always used as effectively as they could have been.

People were protected from abuse and felt safe. Staff were knowledgeable about the risks of abuse and reporting procedures. We saw that risks to people’s safety had been assessed and were linked to their care plans. Pre-employment checks were completed on staff before they were judged to be suitable to look after people at the service.

People told us that staff always asked for their consent before undertaking any task. People were supported to eat and drink sufficient amounts to ensure their dietary needs were met. There was a restaurant which served a variety of meals, including a vegetarian option. People’s health and wellbeing needs were closely monitored and the staff worked with other healthcare professionals to ensure these needs were met and to prevent hospital admissions. There was a well-being advisor who promoted good healthcare access for people using the service.

People were looked after by staff that were caring, kind and promoted their privacy and dignity. People’s rights in making decisions and suggestions in relation to their support and care were valued and acted on. People’s needs were assessed and care plans gave clear guidance on how people were to be supported. Records showed that people and their relatives were involved in the assessment process and review of their care.

Staff supported and encouraged people to access the community and participate in activities that were important to them. There was a process in place so that people could raise a concern or make a complaint and these were acted upon. On the provider’s web site we saw they had a compliments and complaints page for people to complete if they were not satisfied with the service.

We identified that the provider was not meeting regulatory requirements and was in breach of a number of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.

Inspection carried out on 20 September 2013

During a routine inspection

One of the people we spoke with said �I wouldn't want to go home I am very happy here.� Another person commented "Anything you ask they will answer and they are very good." The same person told us that the only concern they had was that statement of accounts regarding services they received only came every 6 months and this was of concern as they were concerned about being in debt.

Another person who used the service also commented on the situation re accounts but told us that the bills are now coming through on time. This person also said "the staff are great, they always involve me in the care plans and are spot on treating me with dignity and care."

One carer we spoke with said " I love working here, the training is very good, working with the residents is so rewarding."

A relative we spoke with said "This was a great move for our relative, they are really happy here."

We found that ExtraCare Charitable Trust Rosewood Court was compliant with the regulations we inspected against. However the provider needed to be aware of the concerns raised by people who use the service regarding issuing of accounts on a timely basis.

Inspection carried out on 27 November 2012

During a routine inspection

People we spoke with on the visit told us that they were treated with respect and dignity at all times by the staff who supplied domicillary care from ExtraCare at Rosewood Court. We saw that staff always knocked on the front doors of residences and awaited a reply before entering.

One of the people we spoke with said �the staff are very good, I feel safe living here.� Another person commented � they are very kind, it was a good move for me to come and live here.�

Inspection carried out on 24 June 2011

During a routine inspection

People we met with on the visit told us that they were respected and that they made decisions about their care. They also said that through meetings at Rosewood Court they influenced the way their support was provided. People using the service said �The support I receive is very good.� �Care staff carry out their job in a professional manner when they assist me.� They also said that their privacy is always respected by staff and that they are trustworthy. Several people said that that nurses and care workers are well trained. People we spoke with all said that they felt safe due to the security provided by the environment. They also said that care workers made them feel secure and protected. People said that they were involved within the service and they were invited to give their views on the quality of the service. Everyone was very positive about the care and support they received. They were happy living at Rosewood Court