Background to this inspection
Updated
18 November 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 undertaken 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.
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 (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 all this information to plan our inspection.
During the inspection
We spoke with 5 people who used the service. We reviewed the care records of 5 people who used the service. We also reviewed a range of records relating to the management of the service, including audits, policies and procedures, staff training records, 3 staff files and 1 staff recruitment record. We spoke with 4 staff members, including the registered manager, administrator, and 2 care staff.
Following our inspection visit, we received electronic feedback from 2 people’s relatives and 1 staff member.
Updated
18 November 2023
About the service
Deben View is a domiciliary care agency, providing personal care support to adults living in their own flats in 1 purpose-built 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. At the time of our inspection there were 30 people receiving personal care support.
People’s experience of using this service and what we found
Systems were in place to safeguard and mitigate risks of abuse and avoidable harm. People received their medicines when they needed them. Lessons were learned from incidents, and measures put in place to reduce the risks of them happening again. Staff were trained in infection control and used personal protective equipment where required.
Ongoing recruitment meant there were enough staff to ensure people were provided with the care and support required to meet their assessed needs and staff were recruited safely. Staff were trained to meet the needs of people. Where people required support with their dietary and health needs, this was assessed and systems in place to meet their needs.
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’s care plans were person centred provided guidance for staff in how their assessed needs and preferences were met. People received care and support from staff who were caring and who respected their privacy and independence. People made decisions about their care and support, including how they preferred to be supported and their end-of-life decisions.
Systems were in place to monitor and assess the care provided, and where shortfalls were identified actions taken to make improvements. There was a complaints procedure in place and people’s views were used to improve the service. The service worked well with other professionals involved in people’s care.
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 (published 23 May 2018).
Why we inspected
This comprehensive inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Deben View on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.