We carried out a review of the data available to us about Housing 21 - Summer Field Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Housing 21 - Summer Field Court, you can give feedback on this service.
We found the following examples of good practice.
Posters were on display throughout the service reminding people, staff and visitors to wear masks and providing pictorial advice on good handwashing principles.
The provider carried out regular competency checks to ensure staff were using PPE correctly (PPE refers to personal protective equipment, this consists of protective clothing or equipment designed to protect people from infection. PPE items include aprons, gloves and masks).
Training videos were available for staff members to access at any time, these consisted of bite size refresher video clips showing best practice when putting on and taking off PPE.
Visors were available for staff when communicating with people with learning disabilities and/or hearing difficulties, these supported communication between people.
The management team carried out weekly infection control audits, these ensured communal rooms were regularly cleaned and maintained.
Housing 21 – Summer Field Court is an extra care facility providing personal care for people in their own flats. There were 72 flats in total, of which 36 people were in receipt of care at the time of our inspection The complex has a range of on-site facilities including three communal areas, communal gardens, a laundry, shops and a hairdresser.
People’s experience of using this service and what we found
People's risks were managed safely and lessons had been learned when things had gone wrong. Systems to assess the safety and quality of the service had been improved.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 23 October 2019).
Why we inspected
The inspection was prompted in part by notification of a specific incident following which a person using the service sustained a serious injury.
The information CQC received about the incident indicated concerns about the management of risks, specifically how risks were recorded and reported. This inspection examined those risks.
Targeted inspections do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. During this inspection we reviewed the part of the key questions of safe.
The overall rating for the service has not changed following this targeted inspection and remains good.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The provider is registered with us to provide personal care and support for people who live in their own homes. People using the service lived in a large gated community in one building in Stone. There were 72 flats on the complex. People had their own flats as well as access to communal areas on site such as shops, restaurants and a hair salon.
People's experience of using this service and what we found
People were supported in a safe way. There were enough staff available for people. Risks to people’s safety were considered and reviewed and lessons were learnt when things went wrong. Medicines were managed in a safe way and actions were taken to ensure infection control procedures were followed in people's homes.
People were supported by staff they were happy with. People were encouraged to remain independent. They were offered choices and their privacy and dignity was maintained.
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 support this practice. People had access to health professionals when needed. They were supported to maintain healthy diets.
People received care based on their assessed needs. People's preferences were taken in to account. People had the opportunity to participate in activities they enjoyed. There was a complaints procedure in place.
There were systems in place to monitor the quality within the home. Staff felt supported and listened to. People and relatives were happy with the care they received. Feedback was sought from people and relatives who used the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good. (30 September 2016)
Why we inspected
This was a planned inspection based on the previous rating.
The service was last inspected in July 2013 when we found the provider was compliant with the essential standards described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.
Summer Field Court provides care to people in their own homes, within a single community. The service provides care and domiciliary support for older people and people with a learning disability who live in their own home. People were supported in 72 flats within the complex. Most people received support and care visits each day. On the day of our inspection visit the service was providing support to 48 people. Some people who lived at Summer Field Court did not receive any support and were independent.
The complex included some communal areas where people could mix, form friendships and relationships and take part in stimulating activities. There was a day centre, several communal lounge areas, a shop, hairdresser and a restaurant at Summer Field Court.
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. We refer to the registered manager as the manager in the body of this report.
People felt safe using the service and there were processes to minimise risks to people’s safety. These included procedures to manage identified risks with people’s care and for managing people’s medicines safely. Staff understood how to protect people from abuse and keep people safe. The character and suitability of staff was checked during recruitment procedures to make sure, as far as possible, they were safe to work with people who used the service.
There was enough staff to deliver the care and support people required. Although people told us there had been some recent staffing issues, care vacancies had now been recruited to. People told us staff were kind and knew how people liked to receive their care.
Staff received an induction when they started working for the service and completed regular training to support them in meeting people’s needs effectively. People told us staff had the right skills to provide the care and support they required.
Most of the care records we reviewed were up to date. The manager had identified the need to update care records, to increase the information provided to staff with regard to mental capacity assessments and best interest decisions. Care reviews were being undertaken to ensure care records were brought up to date. The managers understood the principles of the Mental Capacity Act (MCA), and staff respected people’s decisions and gained people’s consent before they provided personal care.
Staff were supported by managers through regular meetings. There was an out of hours’ on call system which ensured management support and advice was always available for staff.
People told us the manager was approachable. Communication was encouraged and identified concerns were acted upon by the manager and provider. People knew how to complain and information about making a complaint was readily available for people. Staff said they could raise any concerns or issues with the managers, knowing they would be listened to and acted on. The provider monitored complaints to identify any trends and patterns, and made changes to the service in response to complaints.
Quality assurance systems assessed and monitored the quality of the service. People and staff were involved in developing the service. There was regular communication with people and staff whose views were gained on how the service was run; their views were used to make continuous improvements.
People said they were happy with the support they received. One person said: "They listen to me. It's down to me how they provide my care". People who could not tell us about their experiences appeared to have good relationships with the care staff.
People said that care staff provided their support at the agreed time and came quickly if they needed urgent support.
People told us and we observed in their records that staff knew about people's health care needs and were alert to changes in people's health. Some people were supported to take part in social and independent living activities. The manager was taking action to make sure that people were supported to have more access to the community.
Staff had the training and knowledge to identify poor practice and abuse. They knew how to act if they had any concerns.
The manager had introduced some systems to review and monitor the quality of the service people received but not all these were fully recorded.
Care staff were supported and trained to provide people with the support they needed. The service provided a range of training to provide staff with the skills to provide care at a satisfactory standard. Care staff were supervised and had an annual appraisal.
One person told us, "It was the best decision to move to Summer Field Court, I am very happy here, fully satisfied with the accommodation and I can do what I want to do".
We saw staff supported people in a knowledgeable way when it was needed. People who used the service told us that staff helped them with the things they were unable to do for themselves whilst maintaining their own level of independence.
Staff told us they received sufficient training for them to do their job and that the management team were supportive. People told us the staff were kind, thoughtful and helpful.
Systems for monitoring the quality of the service were being reviewed. All documents and records we asked to see for this inspection were available, in good order and up to date.