Background to this inspection
Updated
12 December 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
This inspection took place on 21 November 2018 and was unannounced.
The inspection was carried out by one inspector and an expert by experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.
Prior to the inspection we looked at information we held about the service. This included previous inspection reports and notifications we received from the service. Notifications are specific events providers need to notify the commission about by law.
We spoke with commissioners of the service and the local safeguarding team.
During the inspection we spoke with 10 people, two relatives and two visitors. We spoke with the area operations manager, the scheme manager, the team leader and three care staff. We observed some interactions in communal areas people were able to access.
We looked at three people's care records, medicine administration records, three staff files and other records relating to the management of the service.
Updated
12 December 2018
We undertook an announced inspection of OSJCT Mayott House on 21 November 2018. 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 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. At the time of our inspection there were 22 people receiving support with personal care.
There was a not registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. However, the manager had applied to CQC to register as the registered manager.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
Why the service is rated good:
People continued to benefit from a safe service that ensured risks were identified and managed. Staff understood their responsibilities to identify and report concerns relating to risks of harm and abuse.
Medicines were managed safely and ensured people received their medicines as prescribed. There were sufficient staff deployed who had the skills and knowledge to ensure people's needs were met.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health.
People benefited from caring staff who showed kindness and compassion. Staff treated people with dignity and respect. People were involved in their care and supported to remain independent.
The service continued to be responsive. Staff supported people in a way that ensured their needs were met and recognised them as unique individuals. People's changing needs were responded to appropriately.
The service continued to be well led. There was an open culture that ensured people could approach the management team if they had any concerns. The manager, area operations manager and team leader continually monitored the quality of the service to ensure continuous improvement.