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Inspection Summary


Overall summary & rating

Good

Updated 19 September 2019

About the service

Arch Hill Court is a service providing personal care to people in their own homes. The extra care housing service supports people living independently in their own flats and who have access to a number of communal areas. In addition, Arch Hill Court cares for people living in the own homes in the community. People supported include younger and older people who may live with dementia, mental health needs, physical disabilities or sensory impairments. Ninety people were in receipt of care at the time of the inspection.

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

People had developed strong relationships with the staff caring for them. Relatives told us staff were considerate and their family members were supported by a consistent staff team who knew them well. Staff encouraged people to make their own decisions about their care, and people’s decisions were listened to. People’s rights to dignity, independence and privacy were recognised by staff.

Staff understood how to recognise abuse and were confident the registered manager would support people, if any concerns were identified. People were supported to receive their care at the time planned. Staff knew what risks people experienced and acted to reduce people’s risks. Systems were in place to take learning from any incidents.

People’s needs were assessed, and they were supported to have enough to eat and drink, and see other health professionals, so they would enjoy the best health possible. Staff knew how to care for people and felt supported to provide good care through comprehensive training and induction programmes. 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.

People and their relatives were involved in planning people’s care, which reflected people’s wishes, and said their views were acted on. Staff supported people as their needs changed, so they continued to receive the care they wanted. People were supported to raise any concerns or complaints and systems were in place to take learning from these. Staff had received compliments regarding the quality of care provided at the end of people’s lives.

People, relatives and staff were positive about the way the service was managed and were encouraged to make suggestions for developing people’s care further. The registered manager and provider checked the safety and quality of the care, so they could be assured people’s needs were met. The registered manager understood their responsibilities to drive through improvements to people’s care, and development of the service was informed by best practice standards and work undertaken with other organisations.

Why we inspected

This was a planned inspection based on the previous rating.

Rating at last inspection

The last rating for this service was Good (published 03 February 2017).

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 19 September 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 19 September 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 19 September 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 19 September 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 19 September 2019

The service was well-led.

Details are in our Well-Led findings below.