Archived: Manifoldia Grange Extra Care Service

Updated 21 August 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 team consisted of one inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. On this occasion the expert-by-experience had experience in caring for people who used regulated services.

Service and service type

This service provides care 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.

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

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us. At the time of the inspection the service was supporting 33 people with personal care.

Inspection activity started on 15 July 2019 and ended on 17 July 2019. We visited the extra care housing facility on 15 July 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included information about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We sought feedback from commissioning organisations who work with the service. We used the information the provider sent us 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 this information to plan our inspection.

During the inspection-

We spoke with 17 people, 4 relatives, 7 care staff and the registered manager. We reviewed the records for four people being supported by the service, staff rotas, supervision schedule, records of competency checks, the providers survey results, and audits of the quality of the service.

Updated 21 August 2019

About the service

Manifoldia Grange Extra Care Service provides support and personal care to adults. The service is registered to and managed by Sandwell Council. People who used the service received their support and care in their own flats within the extra care complex. At the time of our inspection 33 people received personal care and Support.

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 stay safe in their own flats. People received consistent care from longstanding staff who had worked with them for several years. Staff followed people’s usual care routines and supported people with any potential risks to their safety. Staff were recruited in a safe way and people felt there were enough staff to meet their needs. People were supported to take their medicines as they had been prescribed. People were supported to live in a clean and hygienic environment.

People described the support they had as effective. Staff received induction, training and the support they needed to do their job safely and provide support in the way that people preferred.

People were enabled to make decisions about how their care was planned and delivered. People were supported to have choice and control over their lives and staff understood that they should support them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff ensured that people’s privacy and dignity was maintained. Staff supported people to have drinks and meals that they enjoyed.

People were cared for and supported by staff who were kind and caring. Staff supported people to be as independent as possible. People were encouraged and supported to undertake self care tasks and maintain their skills.

The service was responsive to people's needs. Care and support was planned and delivered in a personalised way. Where people had specific health conditions, further detail was needed so that records accurately reflected how people’s needs were met. People enjoyed a range of social activities and were supported to access local community amenities. Complaints processes were in place for people and their relatives to access if they were dissatisfied with the service.

People, relatives and staff had confidence in the management team and the service. People told us the quality of the service was good and that the management were approachable and helpful.

The provider monitored the quality of the service via regular audits. Since our last inspection they had made several improvements to different aspects of the service, such as regular supervision for staff and refresher training. Audits were carried out to identify areas for improvement and people’s views on the service were sought and showed their satisfaction with the service they received.

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 16th November 2016).

Why we inspected

This was a planned inspection based on the previous rating.