We carried out a review of the data available to us about Grays Fair Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Grays Fair Court, you can give feedback on this service.
Grays Fair Court consists of 24 extra care housing flats, and 20 reablement beds in a separate unit. The reablement unit usually supported people discharged from hospital, requiring further rehabilitation for approximately six weeks, before returning home. The service provides the regulated activity of personal care at the extra care housing, and regulated activity of accommodation, personal and /or nursing care for the reablement beds. At the time of our inspection there were 39 people using the service.
Not everyone who lived in the housing with care flats received the regulated activity of 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 live meaningful lives, and /or develop the skills and abilities needed to enable them to return to living independently. People worked collaboratively with staff to set personal goals, and to ensure they continued 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.
The care environment was visibly clean, with arrangements in place to maintain the cleanliness and condition of the whole service 7-days a week. Some people received support with aspects of housekeeping to keep them safe while living independently.
We received consistently positive feedback on the staff skills, quality of care and responsiveness to people’s needs, including when using their call bells. The service had an active recruitment programme in place to reduce the use of agency staff and ensure consistency and familiarity within the staff team.
Staff and the management team took pride in their work and were clear that caring for people was a privilege, and valued, responsible position. Staff recognised their own accountability and were comfortable to challenge or question any concerns relating to colleagues practices.
Where incidents or accidents occurred, there was evidence of analysis being completed to determine what measures could be put in place to improve people’s safety and reduce the risk of reoccurrence.
We identified some examples of notifiable incidents that should have been referred to CQC, but had not been, we have made a recommendation about this in the report. However, we could see the actual situations had been dealt with appropriately. We received timely assurances from the management team on changes to practice being implemented to prevent this happening again, and were open to our feedback to ensure safe service provision for people.
We identified environmental risks in relation to unrestricted windows, increasing the risk of people falling from a height, with no individualised risk assessments in place. We received timely assurances from the management team that changes were being made to the environment, and risk assessments were being implemented.
We identified some aspects of medicines management that would benefit from changes to documentation, to ensure greater levels of monitoring and oversight. The management team were responsive to our feedback, and implemented timely changes to practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 May 2021 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 31 October 2018.
Why we inspected
We inspected as part of our routine monitoring of services. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.