We carried out a review of the data available to us about Henry 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 Henry Court, you can give feedback on this service.
Henry Court is an extra care service registered to provide personal care support for older people, including those living with dementia. People using the service live in one-bedroom flats and have access to shared facilities, including a restaurant, communal lounges and garden.
CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. Not everyone who used the service received personal care. At the time of our inspection 21 people were in receipt of personal care.
People’s experience of using this service and what we found
People received their care calls at the times they expected, for the length of time agreed and from staff they knew. Risks associated with people’s care and their home environment had been assessed. However, some risk management plans lacked the detail staff needed to mitigate known risk. Action was planned to address this. People felt safe and staff understood how to keep people safe. Staff recruitment and people’s medicines were managed in line with the providers procedures and best practice medicine guidance. Some staff did not follow the provider's infection control policy and procedure to prevent the spread of infection. Action was taken to address this.
People and a relative had confidence staff had the skills and knowledge needed to provide safe care. Staff received the support and training they needed to fulfil their roles. 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. The management team and staff understood and worked within the principles of the Mental Capacity Act (2005).
The service was well managed. Effective systems were in place to check the quality and safety of the service. Feedback from people, relatives and staff was used to improve and develop the service. Staff felt valued and supported. The management team and staff worked in partnership with other professionals to support people to achieve good outcomes. People expressed their satisfaction with the way the service they received met their needs and desired outcomes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 25 December 2019)
Why we inspected
The inspection was prompted in part due to concerns received about staff competencies, medicine management and the way the service was managed. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for henry Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Henry Court is a service which provides personal care support to 21 people living in an extra care scheme. These are primarily older people. Henry Court is a large modern building comprising of 40 flats.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. 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
Staff were caring in their approach and had good relationships with people. Promoting independence was encouraged, and people were supported to improve their skills.
There were enough staff to ensure people were safe and staff had some time to chat with people. Where risks associated with people's health and wellbeing had been identified, plans were in place to manage those risks while ensuring people could remain independent.
Staff understood their responsibility to safeguard people from harm and knew how to report concerns.
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; systems supported this practice.
People received care which was responsive to their individual needs. Care records provided staff with information in relation to people’s backgrounds, interests and individual health needs. Staff knew people well.
The provider ensured care was based upon good practice guidance to help ensure people received an effective service.
Staff encouraged people to maintain a balanced diet. The provider and staff team worked closely with external healthcare professionals to ensure people's health and wellbeing was maintained.
A new registered manager was in post. Positive feedback was received in relation to the management of the service. People and staff had opportunities to feedback about the running of the service.
Quality checks were carried out to monitor the service, and these identified where improvements could be made.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was rated as Good (published 1 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
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 and associated Regulations about how the service is run.
People were safe when staff were in their home providing care and received care from staff that protected them from the risk of potential abuse. Staff told us about how they kept people safe when providing care and support. People's individual risks had been recorded and reviewed. Staff told us they looked at the plans in place to understand how to keep each person safe to ensure people were at low risk of harm or injury. People who had support with their medicines had them administered when needed, with staff who were trained and competent to do so.
Staff received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care and support needs. Staff understood the need to gain people's consent to care and treatment before providing any care or assistance. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People told us they attended healthcare appointments as required and staff would help with telephone calls and reminders if needed.
People knew the staff well and told us they had a personalised service in their home. People felt the care they had received met their needs and had been able to tell staff how they wanted their care on each call. People felt the staff were considerate and supported them in maintaining their dignity.
People’s views and decisions about their care had been recorded and were changed when needed. People knew how to make a complaint and information was provided to people who used the service should they wish to raise a complaint.
People were always able to talk with the management team about any concerns if needed. Staff were able to speak with the registered manager and provide feedback on the service. The registered manager told us they kept their knowledge current and provided staff with input and direction about the levels of care they expected. Regular checks were completed to monitor the quality of the care that people received, that included reviewing records and observing staff practices.
We undertook an announced inspection of Henry Court on 5 February 2015. We told the provider before our visit that we would be coming. This was so people could give consent for us to visit them in their flats to talk with them.
Henry Court provides housing with care. People live in their own home and have a tenancy agreement with Anchor Trust. Staff provided personal care and support at pre-arranged times and in emergencies to people. The unit consists of 40 flats, at the time of our visit there were 38 people using the service.
The service did not have 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. The provider had recently made changes to the management of the service. An interim manager had been appointed who was in the process of applying to register with us.
People who used the service said they felt safe living at Henry Court. Staff knew what they should do if they had any concerns about people’s safety or if they suspected abuse. There were processes in place to protect people from the risk of harm. These included a procedure to manage risks associated with people’s care and an effective procedure for managing people’s medication.
There were enough suitably trained staff to meet people’s individual care and to provide a flexible, responsive service. Staff gained people’s consent before they provided personal care and supported people to maintain their independence.
People were happy with the care they received and said staff provided care and support in the way they preferred. People said staff were kind and considerate and maintained their privacy and dignity when providing care. Staff had good knowledge about the people they supported and provided a personalised service.
People were involved in making decisions about their care and support and care plans detailed how people wished to receive their care. People said they were listened to and were confident they could raise any concerns about their care or support. There were processes in place for people to express their views and opinions about the service.
Staff felt supported by the manager and senior staff and told us they would feel confident to raise any concerns or issues. There were processes in place to assess and monitor the quality of service provided. This was through feedback from people who used the service, staff meetings and a programme of checks and audits.
We found that people had given their consent to the care and treatment to be provided. People we spoke with said they were happy with the care they received. All the people we spoke with said the carers were friendly and polite. One person said, 'I've been here for five years and know all the staff very well, they are all lovely'
Staff knew how to keep people safe and said they would have no hesitation reporting concerns or poor practice to the manager. We found people received their care around the time they expected to. People we spoke with said they felt safe using the service and that care staff were knowledgeable and competent. The medication procedure was robust and people received their medication as prescribed.
We found Henry Court was well organised. There were systems in place to monitor the care provided and for managing identified risks. The records we looked at showed the care people received was regularly reviewed.
People said they were asked for their views about their care and treatment. We were told, 'Staff always ask me if I'm happy with everything. We also have meetings and I had a recent questionnaire that I sent back. I really like it here they look after me very well'.
Henry Court provides a 'housing with care' scheme. The care people receive is regulated by the Care Quality Commission, but the accommodation is not.
34 people living at Henry Court were receiving a personal care service at the time of our inspection visit. We spoke with three people using the service at Henry Court. We also spoke with the registered manager and two care staff.
We looked at care records and some records relating to the day to day running of the service, such as staff daily task sheets.
All the people we spoke with said staff were polite and treated them with respect. People told us they got the care they needed.
One person told us how staff promoted their independence. They said, 'I have improved since I moved in here. The staff encouraged me to do the things I could do for myself. I like being able to do what I can.'
People told us they felt safe living at Henry Court. Records showed that staff received training and supervision to make sure people using the service got effective and appropriate care.
We saw evidence that satisfactory pre-employment checks were made before staff started working with people who used the service.