We carried out a review of the data available to us about Creative Support - Duncan 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 Creative Support - Duncan Court, you can give feedback on this service.
Duncan Court is an extra care service providing support to people who live in their own flats in a purpose built block. The service has a communal lounge, dining area and bathrooms on each floor. Care is provided by Creative Support and the building is owned and managed by a housing association. At the time of our inspection there were 34 people using the service.
People’s experience of using this service:
People told us they felt safe living at the service and that staff were kind and caring. Medicines were safely managed and there were measures to address risks to people using the service. People were safeguarded from abuse.
People knew who the manager was and felt comfortable raising concerns with her. Managers had systems in place to ensure that staff and people using the service were engaged.
People were positive about the service. One person told us “They are very good, I am happy here.” People had the opportunity to speak up about their care but systems of keyworking were not effective.
People were supported to attend health appointments, but health action plans lacked some detail about how to support long term health conditions. People said they had enough support to eat and drink from staff and nutritional needs were clearly assessed and met by care workers.
People reported that their care needs were met by staff who knew what they needed. People’s plans lacked details about their preferences for how they liked to receive care but this was understood by care workers. The service had identified this at audit and had plans to address this. People had access to activities and were encouraged to engage with the wider community.
Rating at last inspection:
At our last inspection in May 2017 we rated this service ‘good’.
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
The service was rated 'good'. We will continue to monitor information and intelligence we receive about the service until we return to visit as per our re-inspection guidelines. We may inspect sooner if any concerning information is received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Duncan Court and Donnybrook Court on our website at www.cqc.org.uk.
There was a registered manager at the service. 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.
At our previous inspection we reviewed records of incidents and accidents and found that the provider had not informed CQC of some significant events. At this inspection we found that the provider was now doing this, and there were measures in place to check that this was done in future.
Duncan Court and Donnybrook Court is an extra care service which provides care and support to older people and people with dementia over two sites in Tower Hamlets, each of which consists of 40 single flats, with a kitchen, bedroom, living room and shower room. Each building has communal bathrooms on each floor and a communal lounge, dining room, hairdresser and an on-site office. At the time of our inspection the service was supporting 59 people with personal care.
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.
People told us that they felt safe, comfortable, respected and well cared for. People received person-centred care through appropriate systems of care planning and review. Staff used tools for exploring people’s life stories and found out about people’s needs and preferences with regards to their care and lifestyle and staffing hours were provided in a way which was responsive to people’s needs.
There were systems in place to ensure the health and safety of people who used the service, which included appropriate risk assessments and regular safety checks of the premises. Managers had appropriate procedures in place and carried out audits which ensured people’s care was safe and appropriate and operated an open door policy which meant people could approach them with concerns, questions and complaints. Complaints were taken seriously, and where appropriate the service had taken steps to address people’s concerns and learn from them. The service fulfilled its responsibilities to obtain consent to people’s care and to check whether people were subject to restrictions on their movement.
Staff received the training and support they needed in order to carry out their roles and were checked prior to employment to ensure they were suitable for their roles. There were staff planners in place to ensure that people received the right care at the right time. Medicines were appropriately recorded and checked to ensure people had received them safely and suspected errors were reported and investigated. Staff received training and observations of their competency to administer medicines.
People benefitted from a varied and interesting programme of activities which demonstrated good links to the community. Most people told us they enjoyed these, but it was not always clear whether people chose not to attend or were missing out. People were supported to attend health appointments and staff looked out for when people may not be well and worked with other professionals to address this. The provider had procedures in place to help protect people from abuse.
We found one breach of regulations regarding notifying the Care Quality Commission of reportable incidents. You can see what action we have told the provider to take at the back of the full version of this report.