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Mosslands Care and Support Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 12 November 2018

During a routine inspection

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 carried out on 26 August 2016

During a routine inspection

The inspection took place on 26 and 31 August 2016 and was unannounced.

This was the first inspection for the service following the transfer of the business to Catalyst Choices Community Interest Company.

Mosslands Care and Support is a domiciliary care agency providing personal care to people living in their own tenancies. The agency supports people who live in the Mosslands sheltered housing scheme (Extra Care) with daily living and staying safe. The Care Quality Commission has inspected this service in relation to seventeen people living at Mosslands who have been assessed as needing personal care.

Mosslands provides 49 one and two bedroom bungalows with an on site domiciliary care agency on call between the hours of 7am and 10pm. Other facilities at the scheme included a day room with organised activities, a dining room where breakfast, lunch and tea can be purchased and bathing facilities. A range of shops and other local amenities are within walking distance of the bungalows and there are good public transport services. The majority of people living in the sheltered housing scheme live fairly active independent lives.

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.

The risk of abuse was minimised because there were clear policies and procedures in place to provide staff with information on how to protect people in the event of an allegation or suspicion of abuse.

Policies and procedures were in place to support staff with safe administration of medicines, however refresher training had not been delivered in line with the the expiration dates on staff training certificates.

Suitable recruitment processes and checks were in place to minimise the risk of unsuitable people being employed to work with vulnerable people.

Staff had received training however a programme of refresher training had not been implemented.

The service took account of people’s diverse needs and care plans were written in a person centred way.

Staff had good relationships with people who used the service and were attentive to their needs.

Systems were in place to audit and monitor the quality of the service provided. Audits were carried out but identified shortfalls had not been addressed.