8 November 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 19 and 20 September 2018 and was announced. The inspection team consisted of one inspector.
As part of the inspection we reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us by law. The provider had also submitted to us a Provider Information Return (PIR). A PIR is a form that asks the provider to give key information about the service, what the service does well and improvements they plan to make. We also contacted local authorities who provide funding for people to ask them for information about the service and Healthwatch. This is an independent organisation that champions the needs of people that use health and social care services. This helped us to plan the inspection.
We met and spoke with six people who received care and one relative. We also spoke by telephone with seven people who received care. We spoke with the village manager, the registered manager; the senior care co-ordinator, two care supervisors, two personal support workers, the volunteer co-ordinator and the locksmith who worked with people who needed additional support with mental health concerns, for example, memory loss, confusion or anxiety. We looked at the care records for six people to see how their care was planned. We also looked at two staff recruitment files, medication records and audit records.
8 November 2018
The inspection was announced and took place on 19 and 20 September 2018.
The ExtraCare Charitable Trust, Longbridge Village provides personal care for people aged 55 and over. This service provides care [and support] to people living in specialist ‘extra care’ housing. 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. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care [and support] service. There were 50 people receiving personal care when we inspected. This was the first inspection since the provider had registered the location on 29 August 2017.
A registered manager was in place. A 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 living at the scheme received individualised care and support from staff that demonstrated exceptional knowledge of people’s individual needs. People had an enhanced sense of well-being and quality of life because staff actively encouraged and supported them.
People were supported to engage in group and individual community activities within the village that were meaningful to them. People were also encouraged to be as independent as possible and we saw the positive progress people had made, which had resulted in a reduction in the support they required.
Staff respected people's individuality, diversity and personal histories and preferences and always considered people's individual needs when delivering their care. Care plans detailed people’s individual care needs including guidance on the things that were important to them.
Information was provided in suitable formats to meet people’s individual needs and people were fully involved in planning their care. People and staff told us that the management team were approachable and if they had any concerns they would be listened to.
People said they felt safe living at the scheme with support from staff who arrived at the agreed time and stayed for the agreed length of time. Staff demonstrated good knowledge about people’s care and support needs.
People were cared for by staff who were trained in recognising and understanding how to report potential abuse. Staff knew how to raise any concerns about people’s safety and shared information so that people’s safety needs were met.
If required, people were supported by staff to have their medicines and records were maintained of medicines administered. Staff maintained good hygiene practices and used protective clothing when appropriate.
Staff said on-going training was in place to ensure they had the skills to meet the needs of the people they supported. Staff understood the importance of ensuring people agreed to the care and support they provided and when to involve others to help people make important decisions.
Where needed, people were supported to eat and drink enough to remain healthy. People told us staff helped them prepare meals of their choice if needed or they could attend the on-site restaurant.
People said staff were quick to respond when they were unwell and supported them to access other healthcare professionals when required.
People told us that they liked the staff who supported them and were positive about the care that they received. People had positive relationships with staff, who they said treated them with dignity and respect. Staff spoke warmly of the people they cared for and said they enjoyed their role.
People told us staff and the management team were approachable and if they had any concerns they would be listened to and dealt with appropriately.
People told us they enjoyed living in the scheme and spoke positively about the care provided and the management team. Staff felt supported to carry out their roles and responsibilities effectively, so that people received care and support in-line with their needs and wishes.
The provider ensured regular checks were completed to monitor the quality of the care that people received. Areas identified for improvement were acted on.
The registered manager had a clear vision for the further development of the service and worked with other agencies to support the well-being of the people living at scheme.