You are here

Optalis Extra Care Berkshire Good

Inspection Summary


Overall summary & rating

Good

Updated 1 August 2018

This inspection took place on 11 and 13 July 2018 and was announced. We gave the registered manager 48 hours' notice because the location provides a service across four different sites and we needed to make sure the relevant staff and information would be available in the office.

At the last inspection in June 2017 we found the service was not meeting all fundamental standards as required. The provider had not established an effective system that ensured their compliance with the fundamental standards. Following that inspection, we asked the provider to complete an action plan to show what they would do, and by when, to improve the key questions safe and well-led to at least good. At this inspection we found the provider had taken the action they said they would and had improved the service to an overall rating of good, with a rating of good in all key questions.

Optalis Extra Care Berkshire provides personal care to people living in self-contained flats at four separate specialist ‘extra care’ housing sites. The four sites have a total of 176 flats. 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. Not everyone living at the four extra care facility sites receives 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 58 people across the four sites.

The service has 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 staff being employed who were not suitable.

People 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. This was confirmed by people and the relatives who gave us their views. People were encouraged and supported to maintain and increase their independence.

People received care and support that was personalised to meet their individual needs. They received effective care and support from staff who knew them well and were well trained. They told us staff had the training and skills they needed when providing their care and support. Medicines were stored and handled correctly and safely.

People knew how to complain and knew the process to follow if they had concerns. People's rights to make their own decisions were protected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Where people were potentially being deprived of their liberty, the service knew to make the relevant commissioning authorities aware. This was so that commissioners could make applications to the Court of Protection for the appropriate authorisations.

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

People benefitt

Inspection areas

Safe

Good

Updated 1 August 2018

The service had improved to good and was safe.

The service had introduced new medicines training and audit systems. They had ensured that all staff were fully trained and assessed as competent before being allowed to assist people with their medicines.

There were sufficient numbers of staff. Recruitment processes were in place and followed with the registered manager making final checks before staff could start work. This made sure, as far as possible, that people were protected from staff being employed who were not suitable.

Staff had a good understanding of how to keep people safe and their responsibilities for reporting accidents, incidents or concerns.

Risks to people�s personal safety had been assessed and plans were in place to minimise those risks.

Effective

Good

Updated 1 August 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 promoted people's rights to consent to their care. Staff were aware of their responsibilities to ensure people's rights to make their own decisions were promoted. The registered manager was aware of the requirements under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

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 1 August 2018

The service was caring.

People benefitted from a staff team that was caring and respectful.

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

Well-led

Good

Updated 1 August 2018

The service had improved to good and 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. The system introduced was effective in ensuring the service obtained and maintained compliance with the fundamental standards.

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