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Inspection carried out on 10 December 2019

During a routine inspection

About the service

Corbett House provides personal care to people in an assisted living development within privately owned, self-contained apartments. 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

People said they felt safe when staff were present. Relatives said their family member was safe at Corbett Court. The staff told us they had attended training in safeguarding of adults at risk. These staff were knowledgeable on the types of abuse and felt confident to report concerns.

Risks were assessed, and the actions depended on the level of risk identified. Staff told us they always assessed risks and were kept informed about changes.

People we spoke with told us they knew the staff that delivered personal care. They said the staff arrived on time and stayed for the agreed times. Records showed the schedule of visits and the care to be delivered.

People and their relatives made arrangements for the ordering and storage of medicines. Where staff administered medicines, the risks were assessed. Staff signed records where they administered medicines. Medicines were audited weekly by the duty manager and copies of the audits were reviewed monthly by the registered manager. We recommended the provider developed individual profiles regarding the person’s preferences on how they took their medicines and the purpose of them.

Staff were supported with the roles they were employed to perform. Staff had attended training set as mandatory by the provider.

People or families organised their healthcare visits. People made separate arrangements for their nutritional requirements. Care plans were developed where staff supported people with their eating and drinking.

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 told us the staff were kind and caring. They told us their rights were respected. The staff we spoke with explained their approach and how they built relationships. Relatives told us the staff were exceptionally kind and had shown compassion and complimented the staff for the care delivered to their family member.

People’s needs were assessed including the person’s ability to manage their care needs. The person’s preference on how staff were to deliver their personal care was detailed. People received minimal support from the staff and care plans reflected the support.

Relatives told us they were part of the planning of their family member’s care and were invited to reviews. People or their relatives made separate arrangements with external agencies where more extensive support with personal care was identified.

People knew who to approach with their complaints. There were no complaints received about the service since 2018.

There were a range of audits undertaken. The registered manager was supported by the area manager. Staff told us the registered manager was approachable and the team worked well together

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 (published in May 2017).

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.

Inspection carried out on 18 April 2017

During a routine inspection

The inspection took place on the 18 April 2017 and was announced. Forty eight hours’ notice of the inspection was given to ensure that the people we needed to speak to were available.

Yourlife Management Services Limited provides personal care services to older people in their own homes who live at Corbett Court. People live in an assisted living development within privately owned, self-contained apartments. There was a restaurant on site that was managed by another organisation for people if they chose not to prepare their own meals. On the day of our inspection nine people received personal care from Yourlife Management Services Limited.

People remained protected from the risk of abuse because staff understood how to identify and report it. Staff had a firm understanding of how to keep people safe and there were appropriate arrangements in place to manage risks. One person told us “Yes, I definitely feel safe here”. There were enough staff employed to care for people safely and the provider’s procedures remained in place to ensure that staff were suitable to work with people.

People remained supported to receive their medicines safely. The provider had arrangements in place for the safe ordering, administration, storage and disposal of medicines. People were supported to get their medicine safely when they needed it. People were supported to maintain good health and had access to health care services.

Staff told us they had continued to receive training and updates and were confident to meet people’s needs. Staff were happy with the level of support they received and told us that communication from the registered manager was good. One member of staff said “We have regular supervision’s and observations done by the manager”. Staff had a good understanding of the responsibilities with regard to the Mental Capacity Act 2005 (MCA).

People remained supported at mealtimes to access food and drink of their choice. Much of the food preparation at mealtimes had been completed by the onsite restaurant or by people themselves and staff ensured meals were accessible to people.

People remained encouraged to express their views and had completed surveys. Feedback received showed people were satisfied overall, and felt staff were friendly and helpful. People also said they felt listened to and any concerns or issues they raised were addressed. One person told us “If I had a concern I would start with the manager and I would get a response”.

People’s individual needs were assessed and care plans were developed to identify what care and support they required. People were consulted about their care to ensure wishes and preferences were met. Staff worked with other healthcare professionals to obtain specialist advice about people’s care and treatment when required.

People and relatives felt staff were kind and caring. Staff spoke warmly about the people they supported and provided care for. Staff were able to detail people's needs and how they gave assurance when providing care. One member of staff told us “I will always ring the doorbell and tell them who I am. Making sure they are ok and be patient and understanding of their needs”.

People, staff and relatives found the registered manager approachable and professional. One person told us The manager is very pleasant. It is well managed and they make sure you get your care”. The atmosphere of the service was professional and friendly and the registered manager demonstrated a caring attitude towards the people and staff. One member of staff told us “I feel I can talk to my manager about everything. I like coming to work”.

Further information is in the detailed findings below.

Inspection carried out on 11 March 2015

During a routine inspection

The inspection took place on the 11 March 2015 and was announced. Forty eight hours’ notice of the inspection was given to ensure that the people we needed to speak to were available.

Yourlife Management Services Limited provides personal care services to older people in their own homes who live at Corbett Court. People lived in an assisted living development within privately owned, self-contained apartments. There was a restaurant on site that was managed by another organisation for people if they chose not to prepare their own meals. A sleep-in care was available overnight for emergencies. At the time of our visit Eight people received personal care from Yourlife Management Services Limited.

The service had a registered manager. 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 felt safe living at the service and some chose to wear personal alarms to alert staff when they needed support. The service had enough skilled and experienced staff to ensure people were safe and cared for.

People’s needs were assessed and care plans were developed to identify what care and support they required. Staff worked with healthcare professionals such as doctors to obtain specialist advice to ensure people received the care and treatment they needed. People were supported to live as independently as possible.

People had access to and could choose suitable leisure and social activities in line with their individual interests and hobbies. These included exercise classes and games.

There was a restaurant on site and people had sufficient to eat and drink throughout the day. Some people preferred to prepare and eat their own meals in their flats. Where needed staff supported people to eat and drink.

The service considered peoples capacity using the Mental Capacity Act 2005 (MCA) as guidance. Staff attended MCA training so they could observe the key principles in their day to day work. Staff confirmed they would check with people to ensure they consented to care tasks before they proceeded.

People were cared for by staff who knew them well and positive, caring relationships had been developed. The service supported people to express their views and made arrangements to meet people’s individual requirements. People were treated with respect and their privacy and dignity was promoted. They were encouraged to do things for themselves and to be as independent as possible.

Staff felt fully supported by management to undertake their roles. Staff were given regular training updates, supervision and development opportunities. For example staff were offered the opportunity to undertake a qualification in health and social care as part of on going support and development.

Monthly staff meetings took place which provided an opportunity for staff to feedback on the quality of the service. Staff told us they liked having regular meetings and felt them to be beneficial. Feedback was sought from the manager via surveys which were sent out to people and staff.