Housing 21 - Bridlington Branch

Updated 11 August 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 was planned to check 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 comprehensive inspection took place on 19 June 2018 and was announced. We gave the service 24 hours’ notice of the inspection visit because the location provides a domiciliary care service for adults who may be out during the day. We needed to be sure that they would be in.

The inspection team was made up of one adult social care inspector and an assistant inspector.

Prior to the inspection we looked at all the information we held about the service including notifications. Notifications are a legal requirement and give CQC information about important events that have taken place at the service. We used the information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually, to give us some key information about the service, what the service does well and what improvements they plan to make. We also contacted the quality monitoring team at East Riding of Yorkshire Council to ask for their feedback.

During the inspection, we spoke with five people who used the service, two relatives, three care workers, two team leaders and the registered manager.

We visited people in their apartments and inspected records that were kept there with people’s permission. We reviewed three people’s care plans including risk assessments, medicine administration records (MARs) and looked at four staff recruitment files, supervision and training records. We looked at records associated with the running of the service. For example, meeting minutes, policies and procedures.

Following the inspection we contacted several health and social care professionals for feedback about the service and received extremely positive feedback. The registered manager provided us with copies of policies relating to medicines, safeguarding and Mental Capacity Act 2005 as well as an updated statement of purpose.

Updated 11 August 2018

Housing & Care 21- Bridlington Branch is an extra care housing service, which also has a domiciliary care service registered with CQC to provide personal care. The service provides domiciliary care to 27 older people, two of whom lived in the local community. 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 our last inspection in September 2015, we rated the service good overall with the caring domain rated outstanding. At this inspection we found the evidence continued to support the rating of good and the outstanding rating of caring. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The feedback from people who used the service, relatives and professionals was overwhelmingly positive. We observed extremely positive interactions between staff and people who lived at the service. Staff promoted people's privacy and dignity with sensitivity. There were systems in place to ensure people were involved with all aspects of their care and support.

Staff treated people with respect whilst being friendly, caring and compassionate. People, their relatives and professionals all commented on what they described as wonderful, kind and caring staff.

There were safeguarding procedures in place which staff were knowledgeable about and they knew what action they should take if abuse was suspected.

Recruitment checks were robust. They had been carried out to assist the registered manager in making recruitment decisions and to ensure that people were kept as safe as possible. There were sufficient numbers of staff deployed to meet people’s needs. Records confirmed that training had been completed to ensure staff were suitably skilled. Staff were supported though an appraisal and supervision system.

People's nutritional needs were met and they were supported to access healthcare services when required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Care plans were in place, which detailed people’s individual care and support needs. These included social and spiritual needs through a programme of activities as part of the extra care housing.

There was a complaints procedure in place, which was followed by the service when dealing with issues raised by people.

Audits and checks were carried out to monitor all aspects of the service and action plans were developed to highlight any areas, which required improvement. Staff said they enjoyed working with people at the service.

Further information is in the detailed findings below.