Updated 4 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of two adult social care inspectors.
Service and service type:
The provider provided specialist 'extra care' housing. Extra care housing is a purpose-built building or an adapted single accommodation in a shared building or site. The accommodation was bought or rented and was the occupants own home. People's care and accommodation 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.
People using the service lived in flats which were on one site.
The service had a manager registered with the CQC. 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 due to the staff and people we needed to speak to being on one site.
Inspection activity started and finished on 7 March 2019 where we visited the office to see the registered manager, service manager and staff, and to visit people, look at care records, policies and procedures.
What we did:
Before the inspection we looked at information we held about the service:
• Due to technical problems the provider was not able to complete a Provider Information return. This is information we require the provider to send us to give some key information about their service, what they do well, and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
• The law requires providers to notify us of certain events that happen during the running of a service. We reviewed notifications received since the last inspection.
• We reviewed the previous inspection report and the providers website.
During the inspection:
• We spoke with three people who used the service and one district nurse and one professional from an integrated care service who were visiting.
• We spoke with the registered manager, service manager, the operations manager and three staff members.
• We looked at the care records of four people.
• We looked at three staff records, including training and recruitment records.
• We looked at other records to do with the management of the service.