Background to this inspection
Updated
3 July 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 one inspector.
Service and service type
Extra care housing:
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.
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
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 contracts, safeguarding and quality improvement who work with the service. We also sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us on 19 February 2019 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.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, service manager, team leader, a care worker and a housekeeper. We also spoke with a visiting GP and an Occupational Therapist.
We reviewed a range of records. This included two people’s care records and medication records. We looked at a variety of records relating to the management of the service.
Updated
3 July 2019
About the service
Kingfisher Court provides personal care to people living in on-site individual extra care housing flats in Peterborough. Each person's flat is provided with kitchen, lounge, bedroom[s] and an en-suite shower. Communal lounges, bathing and dining facilities are provided. Short stays for reablement and long stays are offered. The service was providing personal care to 37 people at the time of the inspection.
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 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 felt safe having their care provided by staff at the service. Risk assessments were in place to identify possible risks to people`s health and well-being. Measures were implemented to guide staff on how to reduce these risks. Staff worked in conjunction with guidance from external health and social care professionals across different organisations to help promote people’s well-being.
Staffing levels were looked at to make sure they were satisfactory to meet the needs of the people using the service. Medicines were safely managed.
Staff knew the people they supported well. To develop their skills and knowledge staff received regular training, spot checks, supervisions and appraisals. People were supported to maintain their independence. Staff promoted people’s food and drink intake.
Staff promoted and maintained people’s privacy and dignity. People had developed good relationships with staff who had a good understanding of their individual needs and preferences.
People and their relatives told us staff were kind and caring. People`s personal information was kept confidential. People and their relatives were involved in discussions about their care and felt that staff and the registered manager knew them well. People told us if they had to raise any concerns, they would be confident they would be listened to and the concern resolved where possible.
People and staff told us the service was well managed. Staff felt well-supported. Audits including organisational audits were carried out to monitor the service and address any improvements required. The registered manager notified the CQC of incidents that they were legally obliged to.
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. (Report published 8 December 2016).
Why we inspected
This was a planned inspection based on the previous rating.
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.