Background to this inspection
Updated
13 July 2021
The inspection
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 and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
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 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 services.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager, two senior staff and the supervisor. We reviewed a range of records. This included four people’s care records and four medicines records. We looked at three staff files in relation to recruitment and 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 sent a questionnaire to all staff and received feedback from six people. We contacted ten professionals and we received feedback from one person.
Updated
13 July 2021
About the service
Tayo Situ House is an extra care service which provides care and support to people who live in their own flats. The service is for older people with support needs. At the time of the inspection there were 30 people living at the service. The service has a total of 42 flats which are a mixture of one- bedroom and two-bedroom flats. There is a communal lounge and garden facility.
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
Care workers were not always administering medicines safely as they were not following the manufacturer’s guidance. We made a recommendation to the provider about this. Care workers were not always recruited safely.
People’s end of life wishes were not being recorded. The provider was not always ensuring information about people’s care and support was available in suitable formats to meet their support needs. We made a recommendation to the provider about this. Care workers understood how to protect the people they supported and understood how to raise safeguarding concerns. The provider had good infection control practices in place.
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. Care workers received training to ensure they had the appropriate skills to meet people's care needs in a safe and effective manner.
People were happy with the care they received. People told us they felt their dignity and privacy was respected with care workers acting in a kind and caring way when providing support. People felt they were supported to be as independent as possible and received their care from a small team of care workers. The provider was responding to complaints in line with their policy.
The provider had good systems in place to monitor and improve the quality and safety of the service provided. This included systems to support care workers with regular supervision. People’s views about the service were sought individually and through satisfaction surveys. Everyone we spoke with told us the registered manager was approachable and they were happy living at the home.
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 requires improvement published (28 March 2019).
Why we inspected
This was a planned inspection based on the previous rating.
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.