Primrose

Updated 8 July 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service did not have a manager registered with the Care Quality Commission (CQC). However, the regional manager was in the process of registering with the CQC. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. We will continue to monitor this application

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection.

Inspection activity started on 7 June 2021 and ended on 10 June 2021. We visited the office location on 7 June 2021.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with four relatives about their experience of the care provided. We spoke with four members of staff including the regional manager, the service manager and two care workers.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 8 July 2021

About the service

Adderley Court Apartments provides personal care to people in their own homes. At the time of the inspection five people were receiving this service.

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 using the service were safe. They were supported by staff who were caring, kind and respectful. Staff received appropriate training for their roles and were able to support people safely and effectively. The risks to people’s safety were assessed and mitigated and staff encouraged people’s independence in the way they delivered their care.

There were enough staff to support people and where people received support with medicines, staff provided this safely. Staff wore appropriate personal protective equipment, in line with government guidance, when supporting people.

The provider had plans in place to manage the service should they be affected by the COVID- 19 pandemic. There were systems in place to learn from events at the service.

Where people required support with their nutrition staff provided this in an individualised way. Staff worked effectively with relatives and health professionals to support people if they had any health 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; the policies and systems in the service supported this practice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The model of care supported people to live an independent life with the right support. The attitude of the staff caring for people was to both promote and support their right of choice and independence. The planning of people’s care was individualised and personalised.

The service was well led. People and their relatives knew the management team and how to complain if they had concerns. Staff felt supported. There were processes in place to monitor the quality of the care provided and the manager worked in an open and transparent way.

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

Rating at last inspection

This service was registered with us on 4 March 2016. However due to lack of people using the service, there had been long periods of inactivity. They became active in October 2019 when they began to provide personal care for people, this is the first inspection of the service.

Why we inspected

This was a planned inspection as per our inspection programme.