Background to this inspection
Updated
19 December 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. 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.
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 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 looked at people’s personal care and support.
The service had a manager registered with 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
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 14/11/2019 and ended on 15/11/2019. We visited the office location on both days.
What we did before the inspection
We reviewed information we had received about the service since they registered with CQC. 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. We used all of this information to plan our inspection.
During the inspection-
We spoke with six people and two relatives about their experience of the care provided. We spoke with five staff, the registered manager and the regional manager. We spoke with a visiting health care professional. We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and supervision. We also reviewed a variety of records relating to the management of the service, including policies and procedures.
Updated
19 December 2019
About the service
London Care (Rogallo Place) provide personal care to people living in Rogallo Place, an extra care scheme, sometimes known as assisted living or sheltered housing. Rogallo Place comprises of 63 self-contained apartments. The accommodation is the person’s own home. People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate the premises used for extra care housing. 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. At the time of the inspection 40 people were being supported with personal care.
People’s experience of using this service and what we found
People told us they received the care they needed, when they needed it. We found some areas for improvement. The recording of people’s medicines was not consistently accurate. People had not been given an opportunity to discuss their end of life preferences if they wished to do so. Some shortfalls during the inspection had been found during audits but timely action had not been taken to address them. Other shortfalls had not been identified during the auditing process. However, the registered manager took immediate action to address the shortfalls.
People and their relatives told us they felt safe receiving care and support from the service. People were supported by enough staff who had been recruited safely. People were protected from the risks of abuse and discrimination by staff who were trained to recognise the signs of abuse and knew how to report any concerns.
People’s care plans were updated when there were any changes in need or preference. People were supported by staff who were skilled and knowledgeable. Staff worked with health care professionals to support people to stay as healthy as possible. 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.
People and their relatives told us the staff were kind and caring. Staff knew people and their preferred routines well. Staff spoke respectfully about people. People’s privacy and dignity were respected, and their independence was promoted.
People told us they did not have any complaints but knew how to complain should they need to. People, their relatives and staff felt the service was well-led. The registered manager and staff worked closely with the local authority and other health care professionals to provide effective, joined-up care and support.
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 13/12/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on our current inspection programme.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.