Updated 20 June 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. 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: There was one inspector in the inspection team.
Service and service type: Housing 21 – Oakwood Gardens and Mayfield Close 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 bought or 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. Not everyone using the service receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. We also take into account any wider social care provided.
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. However, the registered manager had transferred to manage another of the provider’s services in December 2018. A new manager had taken over at that time and was currently applying with us to become the new registered manager.
Notice of inspection: We gave the service two working days’ notice, to ensure the manager and staff were available to talk with us when we visited.
Inspection site visit activity started and ended on 3 June 2019. We visited the services to see the manager and staff, to gain peoples' views of the care they received and to review care records and policies and procedures.
What we did: We checked records held by Companies House. We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as alleged abuse; and we sought feedback from the local authority and other professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection: We spoke with the manager, an assistant care manager and three members of care staff. We spoke with four people who used the service and two relatives, to ask about their experience of the care provided. We also spoke with one health care professional about their experience of the service. A health care professional is someone who has expertise in areas of health, such as nurses or consultant doctors.
We reviewed a range of records. This included staff recruitment files, five people's care records and four people’s medicine records. We also looked at records relating to the management of the service. These included systems for managing any complaints and compliments received and checks on the quality of care provided.