Background to this inspection
Updated
21 June 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 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 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 support service.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 19 April 2023 and ended on 3 May 2023. We visited the location’s office on 19 and 24 April 2023.
What we did before the inspection
We reviewed information we had received about the service which included 4 ‘share your views’ feedback forms. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of a CQC monitoring activity that took place on 13 January 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with 9 people who used the service and 6 relatives, about their experience of the care provided. We joined in with a coffee morning and observed interaction between staff and people living at Rosebank Park. We also spoke with the registered manager, area manager and 7 members of staff which included the administrator, care coordinator, shift leader and care assistants. We received written feedback from 2 social care professionals. We reviewed a range of records, including 5 people’s care plans, daily notes, and electronic medicines administration records.
We also looked at a range of records relating to the management and monitoring of the service. These included, 3 staff recruitment files, supervision and training records, visits lists, spot check observation records, minutes of meetings, a range of the provider’s quality assurance records, and policies and procedures.
Updated
21 June 2023
About the service
Rosebank Park is an extra care service consisting of 70 flats, accommodating people within 2 large purpose-built buildings. At the time of our inspection there were 54 people using the service.
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 told us they were very happy with the support they received and would recommend to others.
One person told us, “Staff have been brilliant, couldn’t do more for me, make me laugh if I’m miserable.”
Staff demonstrated a culture of supporting people to retain their independence and building up their confidence and abilities to support them in this area. This reflected the positive feedback we received from people, relatives and social care professionals who noted the improvements they had seen in people’s confidence and abilities. One staff member told us the key is providing, “Encouragement and reassurance.”
People felt safe with the care they received and were supported by staff who understood their role in keeping people safe from abuse. Risks associated with people’s individual needs were assessed with measures in place to mitigate. People told us they received their medicines as prescribed, including time sensitive medication, which would impact on their welfare if not given on time. Staff received training and were aware of the procedures to follow to prevent and control the spread of infection.
Staff received an appropriate induction and were well supported through a programme of regular supervision and training. One person told us how specialist training to support their individual needs, was provided to ensure staff had the skills to support them. Systems were in place to support staff with their career progression.
People told us they never felt rushed during their care visit, staff respected their home and listened and acted on what they said. If they had any concerns, people felt comfortable to raise them with members of the management team direct.
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.
To reduce the risk of people becoming socially isolated, activities and social events were arranged to enable people to get to know others living at Rosebank Park. The licenced bar was independently run by people living in the service, at lunch time we saw people sitting having a chat over a drink.
People felt the service was well led, and felt they benefited from having the team’s offices located on site, so they were contactable if needed. Systems were in place to check staff followed safe practice, gain people’s views of the service, and act on any feedback as part of driving improvements. We found the management team to be open where there had been problems introducing new systems, and actions they had taken to address them.
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 2 March 2022, and this is the first inspection. The last rating for the service under the previous provider was Good, published on 27 July 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.