About the service Apex Prime Care - St Johns Court provides domiciliary care and support to people living in this 'extra care' housing project. Extra care housing is purpose-built or adapted single household accommodation, in a shared site or building. At Apex Prime Care - St Johns Court this accommodation consists of individual flats which are rented, in a purpose built complex. The service provides support to older and younger adults who may be living with a physical disability, sensory impairment, dementia or mental health diagnosis. The service was supporting 26 people at the time of the inspection.
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 and their relatives were happy with the care and support provided. Their feedback included, “I think they [staff] are brilliant” and “Yes this place is well run. The manager is absolutely fantastic. She’s so friendly, understanding and approachable.”
There was a strong person-centred culture. Staff were motivated to provide compassionate and kind care. Staff ensured people could express their views and were actively involved in decisions about their care. Staff upheld people’s privacy and dignity during the provision of their care. The registered manager led by example and enabled staff to provide person-centred, kind and compassionate end of life care, where people wished to remain in their own home.
The registered manager was passionate about their role and promoted a positive culture, focused on achieving good outcomes for people. They understood their role and had considered the potential risks associated with them becoming the registered manager for a second location. They monitored the quality of the service and had an action plan to address areas identified for improvement. Professionals provided very positive feedback about how well the registered manager and staff worked with them to ensure good outcomes for people.
People were protected from the risk of abuse. Staff had assessed, identified and managed potential risks. Staff had undertaken relevant training in order to administer people’s medicines safely. People were supported by enough staff who were suitable for their role. Processes were in place to manage the risk of people acquiring an infection. Incidents were reviewed and learning took place.
Staff had the skills and training they required to support people safely and effectively. The registered manager and staff worked closely with other organisations to ensure the best outcomes for people. They worked openly and collaboratively across services to understand and meet people's needs. People’s health needs were promptly identified and escalated where required. People were supported by staff to eat and drink enough.
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 staff reported they felt listened to and heard.
Staff ensured people received personalised care which respected their preferences and choices. People had limited interest in joining the well-being activities run by staff who were working with people to identify if they wanted any alternatives.
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 18 March 2021 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 28 March 2019.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.