Housing 21 - Mattesley Court

Updated 22 August 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 an inspector, an assistant inspector 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 care service.

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 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 support service.

The service had a manager registered with the Care Quality Commission. 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 the provider or registered manager would be in the office to support the inspection and that people would be available to speak with us.

Inspection activity started on 17 June 2019 and ended on 19 June 2019. We visited the office location on 19 June 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

Before we visited the service, we spoke with two healthcare professionals and a manager from healthcare initiative service.

During the inspection

We spoke with seventeen people who used the service and one relative about their experience of the service. We spoke with the registered manager and nine members of staff including care staff and Assistant Care Managers. We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the quality and safety of the service were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with another staff member over the telephone.

Updated 22 August 2019

About the service

Housing 21 – Mattesley Court is an Extra Care Housing provision and domiciliary care service providing personal care for people aged 55 years and over. 26 people were supported at the time of the inspection.

People using the service lived in their own flats within one adapted building. 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 felt the service was safe. Staff knew how to identify and respond to suspicions of abuse. People had also been involved in safeguarding awareness and training sessions. The registered manager had investigated and promoted learning from previous events and had notified CQC of specific events as required.

People’s risks were known to and managed by staff, although records were not always available to ensure consistent practice. People who received support with medicines told us this support was safe, although records were not all accurately maintained. People told us they received their calls on time and the inspection found continued safe recruitment practices.

We received consistently positive feedback from the support people received, and healthcare professionals spoke positively about the service. People were supported to access healthcare services and to prepare and have their meals if needed. Staff told us they had enough training and felt supported. Further training plans were underway to help continue to develop staff.

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. We found however improvements were required as to how one person was supported. Our last inspection had found staff were not always clear on the requirements of the Mental Capacity Act (2005). We have made a recommendation about this.

People and relatives all told us staff were caring. People told us they were asked for their views about their care although this was not always documented. People’s privacy, independence and dignity was promoted.

People’s individual preferences and routines were known and followed. People’s needs were responded to including end of life care and any concerns people raised. People were encouraged to get involved in social events at the service.

Records were not always robust to reflect the positive support described by people and staff including medicines management. Audits had not always identified and addressed all issues to support continuous improvements to the quality and safety of the service.

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 (August 2016).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence of continued good practice however the provider needs to make improvements. Please see the Well-Led section of this full report. The provider continues to take action to improve in these areas and we found no evidence of harm during this inspection from the concerns identified.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Housing 21 – Mattesley Court on our website at www.cqc.org.uk.

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.