Background to this inspection
Updated
13 October 2022
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
This inspection was undertaken by two inspectors 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 service.
Service and service type
The service provides personal care to people living in an ‘extra care’ housing village. 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 the support they received.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. The service had a registered manager in post.
Notice of inspection
This visit was unannounced.
What we did before the inspection:
We reviewed information we had received about the service since the last inspection and used this information to plan our inspection. The provider was not required by CQC to submit a Provider Information Return prior to this inspection.
During the inspection:
We spoke with five people who used the service and one relative. We also spoke with the regional manager, the registered manager, a team leader and a care assistant.
We reviewed a range of records. This included four people's care records and a sample of medication records. Four staff files, staff training and supervision records and relating to the management of the service.
Updated
13 October 2022
About the service
Radis Community Care (Ryfields Retirement Village) is a domiciliary care service. It is registered to provide personal care to people living in their own homes, in an extra care housing village. Extra Care housing is specialised accommodation on a shared site or in a shared building. Not everyone who lived on the site needed support with their personal care. At the time of the inspection, the service supported 32 people.
People’s experience of using this service
People’s needs, and risks were assessed and managed safely. Staff had clear guidance on how to provide safe care. People’s daily records showed that they received the support they needed.
People's medicines were managed safely, and records showed people received the medicines they needed to keep them safe and well.
People’s support plans were person centred and contained lots of detailed information about the person and what was important to them.
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 they were happy with the support they received and had no complaints. They said they felt safe with staff and that staff were kind and patient.
People told us they felt the service had a high turnover of staff and the manager acknowledged that some staff had left in the last 12 months. This had not impacted on safe staffing levels and we saw that people’s visits were well planned to minimise any impact. This was good practice.
Staff were recruited safely and told us they felt trained and supported by both the manager, regional manager and the provider. They liked working for the service. When asked about the people they supported, they spoke about them with genuine warmth and it was obvious they knew people well.
Accident and incidents, including safeguarding events were appropriately reported and the manager had clear oversight of these, and the action taken. However, records of any actions taken were not always up to date and we spoke with the manager about this.
People’s feedback on the support they received was regularly sought. Spot checks on staff practice were regularly undertaken to ensure people received good quality care.
Records showed that people’s visits were consistent, with the majority of visits taking place at the times and for the duration agreed. The manager said they tried their best to ensure the same staff supported people as much as possible. This is important as it helps staff and the people, they support to build positive relationships.
There was a range of audits and checks in place to check the quality of service provision. We have made a recommendation regarding the provider’s medication audit. The audit needs to include a stock check of people’s medication in their own home to ensure the right amount of medicines were available. The manager agreed to this.
The manager had clear oversight of the service and it was clear they were committed to and passionate about providing good care. The culture of the service was open and transparent and staff morale was good.
The delivery of the service promoted good outcomes for people through robust person-centred planning, responsive delivery, liaison with other external agencies in support of the person’s health and well-being, and good governance.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The provider of this service changed and was re-registered with us on 14 September 2020. This was the first inspection.
Why we inspected
This was a planned inspection following their registration with CQC.
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.