We carried out a review of the data available to us about Housing 21 - Goldfield 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 Housing 21 - Goldfield Court, you can give feedback on this service.
Goldfield Court is an 'Extracare' service with 93 flats. The service provides support to older people, those living with dementia, people living with sensory impairment and people with physical disabilities. At the time of our inspection there were 48 people receiving a regulated activity. People live in a large purpose-built building with staff available on site. Various external services such as a restaurant and a hairdresser are available on the wider site.
People’s experience of using this service and what we found
People had effective and robust support care plans in place, however, there were no care plans regarding individual protected characteristics. The provider’s systems had not provided people with choice to receive prescribed medication from pharmacies other than the provider’s approved pharmacy.
People felt safe and trusted staff. Staff knew how to support people to keep them safe. Prescribed medication was given according to the prescriber’s instructions. Carers had received training to recognise and report signs of abuse.
Safe recruitment processes were in place and staff received a thorough induction to familiarise themselves with the expectations of the role and the values of the service. Staff received appropriate training and supervision to help them acquire the skills and knowledge to fulfil their role and responsibilities.
People told us staff were caring and compassionate. People were treated with dignity and respect and their independence was promoted and encouraged by staff.
People’s needs were assessed before the service provided them with care or support. People and their relatives, where appropriate, were involved in this process.
The registered manager was open and transparent and promoted a person-centred culture within the service. Systems and processes were in place to seek the views of the people who used it.
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.
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 21 March 2012. It was last Inspected on 12 March 2020 with an overall rating of ‘Requires Improvement’.
Why we inspected
We undertook this inspection to follow up on the previous inspection and look for improvements. We only looked at the Safe and Well-led key questions.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has improved to Good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Goldfield Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which help inform when we next inspect.
Goldfield Court is an extra-care and domiciliary care service, which provides personal care for older people living in sheltered housing flats. People using the service experience physical disability, sensory impairment and dementia.
At the time of the inspection 62 people were receiving care. 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
There had been a number of medicines errors, however we found this had been acknowledged by the registered manager and actions had been put in place to attempt to minimise any future risk to people. People told us they were supported by staff to remain safe, despite the issues around medicine administration. There were enough staff available to people and people’s needs were attended to in a timely manner. Risk assessments were in place to minimise any potential risk to people’s wellbeing. Staff were recruited in a safe way.
Staff knew people’s needs. Staff received training and had been provided with an induction and felt able to approach the registered manager with any concerns. People were assisted to receive food and drinks by staff where required. People were supported to maintain their health.
People were supported to have choice and control over their lives and staff understood that they should support them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff ensured people’s privacy and dignity was maintained.
People's care plans reflected their needs and preferences and staff understood the care that people required. Complaints were dealt with appropriately in line with the providers complaints’ procedure.
Quality monitoring systems were in place. Feedback was taken from people and used to inform the service. People knew the registered manager and felt they were approachable.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good. (Report published 10 August 2017)
Why we inspected
Although the inspection was due to be carried it, it was also related in part, to the medicines errors that had been reported to us.
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.
People continued to receive safe care and were supported to take their medicines as prescribed. Care staff protected people from abuse and harm. Risks to people were consistently assessed and guidance was available for care staff to follow to ensure they were protected from harm.
People continued to receive effective support from care staff that had the skills and knowledge to meet their specific needs. People were enabled to have maximum choice and control of their lives. People were assisted to access appropriate healthcare support and were assisted where necessary to take a nutritional diet.
People continued to receive a caring and compassionate approach to their needs which included involving them in decisions about the support they needed. People’s privacy, dignity and independence was respected. People’s diverse needs were recognised and care staff encouraged people to continue to enjoy the activities and/or hobbies they enjoyed.
The service continued to be responsive and involved people in developing their care plan so that their individual preferences and abilities were known and these were respected by care staff. People were able to speak openly with care staff and tell them if they were unhappy or wanted to make a complaint.
The service continued to be well-led with appropriate checks and audits in place to ensure that the quality of the service was maintained. The management of the service was stable. Arrangements both formal and informal were in place to obtain people’s views about the service and make any improvements.
We visited the service on 19 December 2014. This was an announced inspection. This meant the service was given short notice that we would be visiting the office from where the care was organised.
The service provided is a domiciliary care service for people living in an extra care setting. This means that people using the domiciliary care service also have the benefit of staff being available on site so call times and peoples support were monitored by the manager on a daily basis. People also have the benefit of an alarm system so they can call for help if needed.
There was a registered manager in post at the time of our inspection. 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 they felt safe with the staff that supported them and they felt secure knowing that someone was around at all times if they needed help. Peoples care needs were assessed and risks that had been identified were monitored and managed appropriately.
The provider had procedures in place so staff were given the training needed to support people. Staff were recruited to ensure there were sufficient numbers of staff to meet people’s needs and keep them safe. People spoken with felt that the staff that supported them were trained and competent to meet their needs.
People were able to make decision about their care and were actively involved in how their care was planned and delivered.
People were able to raise their concerns or complaints and these were thoroughly investigated and responded to, so people were confident they were listened to and their concerns taken seriously.
Staff supported people with their nutrition and health care needs and referrals were made in consultation with people who used the service if there were concern.
People were support with their medication and staff had been trained so people received their medication as prescribed.
The management of the service was stable. Processes were in place to monitor the quality of the service provided. People who used the service were asked to comment on the quality of service they received. The information was used to improve the service where possible.
During our inspection we met and spoke with 20 of the people who lived there, eleven relatives and seven staff.
All of the people and their relatives we spoke with told us some positive things about the care provided. One person said, 'I did not really want to leave my home but I was not safe. I am settled here now and am happy'. Another person said, 'I like it here'. One relative said, 'Now I know that they are safe I feel so much better. They were at risk when they lived at home. I have no concerns'. Another relative said, 'They are well looked after'. However, a small number of people told us that some improvements could be made particularly concerning activity provision.
We determined that a range of health care professional input had been secured, including specialist doctors and district nurses, to monitor and meet people's healthcare needs. We saw that equipment needed to prevent risks and meet people's needs was available. This meant that steps were in place to enable people to have their healthcare and safety needs met.
In general we found that medication management systems were in place to enable people to have their medication as it had been prescribed by their doctor.
We found that adequate staff were provided to meet people's needs.
We saw that recruitment processes ensured that staff employed were suitable and safe to work with the people who lived there. This protected people who lived there from the risk of harm and abuse.
We found that some systems had been used to monitor how the service had been run and people had been encouraged to give their views about the service provided.
All seven people spoken with were happy with the service provided. People had individual care plans that they had agreed too. This meant people were involved in the care that was provided.
Staff received a range of training so that they had up to date knowledge and skills in order to support people receiving a service.
The provider had clear procedures in place to identify and respond to suspicions of abuse to ensure people were protected against abuse.
There were systems in place to monitor the quality of the service provided. Improvements were made by listening to the views of people using the service, their relatives and taking the appropriate actions.