Background to this inspection
Updated
1 April 2020
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 undertaken by one inspector.
Service and service type
This service provides care and support to people living in ‘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 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
We gave the service 48 hours’ notice of the inspection. This was because we wanted to be sure there would be people at home to speak with us.
Inspection activity was undertaken on 14 February 2020 when we visited the office location and met with some people in the office or in their own homes.
What we did before the inspection
We reviewed information we had received about the service since the last inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, assistant manager and two care workers.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
1 April 2020
About the service
Elsie Jones House is a ‘housing with care’ service for people living in their own flats with a tenancy. The provider of the service is the landlord of the tenants and is also registered to provide personal care to people who live in Elsie Jones House. At the time of the inspection Elsie Jones House had 22 people living there who required personal care.
People’s experience of using this service and what we found
People were protected from the risk of harm or abuse by staff who were trained to deliver safe care and knew what action to take if they felt people were at risk. People and their relatives expressed confidence in the care and support provided by staff who they found to be reliable and caring. Staff recruitment processes were safe and robust to ensure people were supported by suitable staff of good character.
People and their relatives said staff safely supported them when they needed assistance to move, and any administration of medication by staff was well managed.
People's care and support needs were assessed and regularly monitored to ensure they were still current and being met. People’s wishes, and legal rights were promoted and protected by staff who had received up to date training which the staff felt equipped them well to deal with any issues.
People were supported to have maximum choice and control of their lives and staff advised they had been trained to support people in the least restrictive way possible and in their best interests. People made positive comments about the care and support they received from staff who regularly worked with them.
People and relatives said the staff responded well to changes in how people were to be supported, providing prompt support when people were unwell or had increased care needs. Agreed plans of care reflected the full care and support needs of people.
People and their relatives expressed confidence that any concerns or complaints would be properly addressed. The registered manager was known by people and relatives and regarded as approachable. Concerns or complaints were responded to in line with the providers policy and procedures.
The provider had regularly sought feedback on the quality of the service using questionnaires with people and their relatives. The registered manager had plans in hand to improve how information from the analysis of the questionnaires was shared. The quality of care provided was regularly checked by the registered manager to ensure the provider’s set standards were maintained.
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.
Why we inspected
This was a planned inspection based on the previous rating.
Rating at last inspection
The last rating for this service was good (report was published in October 2017)
For more details, please see the full report which is on the CQC website at www.cqc.org.uk