Background to this inspection
Updated
26 October 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
This inspection was carried out by an inspector, a regulatory co-ordinator 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.
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 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.
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.
Inspection activity started on 5 October 2023 and ended on 17 October 2023. We visited the location’s office/service on 5 October 2023.
What we did before the inspection
We reviewed information we had received about the service since it had been registered with us. 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 3 people who used the service and 1 family member. We also spoke with 8 members of staff including the registered manager and a deputy care manager. We observed people in the communal activities room when they were engaged in a coffee morning. We reviewed a range of records which included 4 people's care records and various medication records. We looked at 4 staff files in relation to recruitment and staff supervision. A range of records relating to the management of the service including audits, analyses of data and policies and procedures were reviewed.
Updated
26 October 2023
About the service
Housing 21 - Rokeby Gardens is an extra care service in the Kirk Sandall area of Doncaster that contains 52 self-contained flats. There were 56 people who lived in Rokeby Gardens. 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 26 people using the service who required support with their personal care needs.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
People were safe from the risk abuse and were supported by staff who understood safeguarding procedures. There were sufficient and appropriately trained staff in place to support people. People received their medicines safely. People were actively involved in their care and supported to maintain their independence. 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.
Right Care
Care was person-centred and maintained people’s dignity, privacy and independence. There was support for people with additional communication needs. People were encouraged to make choices about what activities they wanted to do. There was a complaints policy and process in place. The service had focussed on conversations with people and their families about making plans to meet people’s wishes at the end of life and what to do after loved ones had passed away.
Right Culture
There was a positive culture in the service. People, relatives and staff were complimentary about the management of the service. Staff were valued by the management team and were recognised for their achievements. There was an open, transparent organisational culture that was focussed on supporting staff and continuous service improvement.
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 8 November 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service, specifically, the time elapsed since the last full inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.