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Mosslands Care and Support Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 7 December 2018

This inspection took place on 12 and 13 November 2018. The first day was unannounced.

At the last inspection in August 2016 we found that audits had been ineffective in addressing shortfalls in staff supervision and refresher training.

At this inspection we found the provider had taken action to address the shortfalls and had improved the service to an overall rating of good.

Mosslands Care and Support provides personal care to people living in self-contained bungalows at Mosslands Sheltered Housing (Extra Care). Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented, and is the occupant's own home. People's care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for extra care housing; this inspection only looked at people's personal care service.

Mosslands provides 49 one and two bedroomed bungalows. Communal facilities at the scheme include a large day room where organised activities were held in the afternoon, a dining room where lunch could be purchased and assisted bathing facilities. A range of shops and other local amenities are within walking distance of the sheme and there are good public transport services. The majority of people living in the sheltered housing scheme live fairly active independent lives.

Not everyone living at Mosslands received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. At the time of our inspection the service was providing personal care to 12 people.

The service had a registered manager as required. A registered manager is a person who has registered with CQC 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 registered manager was present and assisted us on both days of the inspection.

People were protected from the risks of abuse. Risks were identified and managed effectively to protect people from avoidable harm. Recruitment processes were in place to make sure, as far as possible, that people were protected from unsuitable staff being employed.

People told us they were treated with care and kindness. They were consulted about their support and could change how things were done if they wanted to. People were treated with respect and their dignity was upheld.

People received care and support that was personalised to meet their individual needs. People were encouraged and supported to maintain and increase their independence by staff who knew them well and were well trained. People told us staff had the training and skills they needed when providing their care and support.

People's rights to make their own decisions were protected. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's right to confidentiality was protected and their diverse needs were identified and incorporated into their care plans where applicable.

People were given their prescribed medicines in a timely and safe manner.

People benefitted from a service which had an open and inclusive culture and encouraged suggestions and ideas for improvement from people who use the service, their relatives and staff.

People knew how to complain and knew the process to follow if they had concerns.

Staff were happy working for the service and felt well managed and supported.

Inspection areas

Safe

Good

Updated 7 December 2018

The service was safe.

There were sufficient numbers of staff. Recruitment processes made sure, as far as possible, that people were protected from unsuitable staff being employed.

Staff had a good understanding of their responsibilities for reporting accidents, incidents or concerns and how to keep people safe. Risks to people's personal safety had been assessed and plans were in place to minimise those risks.

Medicines were managed safely.

Effective

Good

Updated 7 December 2018

The service was effective.

People benefitted from a staff team that was well trained and supervised. Staff had the skills and support needed to deliver care to a good standard.

Staff were aware of their responsibilities under the Mental Capacity Act 2005 to ensure people's rights to make their own decisions were promoted.

People were supported to eat and drink enough and staff took action to ensure their health and social care needs were met.

Caring

Good

Updated 7 December 2018

The service was caring.

People received individualised care from staff who were compassionate and understanding of their known wishes and preferences.

People's right to confidentiality was protected. People's dignity and privacy were respected and staff encouraged people to live as full a life as possible, maintaining their independence where they could.

Responsive

Good

Updated 7 December 2018

The service was responsive.

People received care and support that was personalised to meet their individual needs. The service provided was reviewed and adapted in response to people's changing needs.

People were able to influence the running of the service.

People knew how to raise concerns. Complaints were dealt with quickly and resolutions were recorded along with actions taken.

Well-led

Good

Updated 7 December 2018

The service was well-led.

Quality assurance systems had been put in place to monitor the quality of service being delivered and the running of the service. These included seeking the views of people who used the service, their relatives and staff.

Staff were happy working at the service. They felt supported by the registered manager and thought the training and support they received helped them to do their job

well.