Archived: The Pavilions

Updated 25 July 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 inspection took place on 30 June 2017 and was announced.

The inspection was carried out by one inspector. We gave the provider 48 hours’ notice of this inspection. This is because the registered manager is often out of the office supporting staff and we needed to be sure that they would be available. We looked at information we held about the service and reviewed notifications received by the Care Quality Commission (CQC). A notification is information about important events which the service is required to send us by law.

The registered provider completed a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the service, what it does well and improvements they plan to make. The registered provider returned the PIR and we took this into account when we made judgements in this report. During the inspection we visited the service’s office, spoke with seven people receiving personal care from the service. We also spoke with three relatives who were visiting their family member.

At the time of this inspection the registered manager was not available. We spoke with an area manager, a care team leader, a senior carer and four care staff. We looked at six people’s care records. We looked at records relating to the management of risk, medicine administration, staff recruitment and training and systems for monitoring the quality of the service. We also spoke with healthcare professionals, a representative from Age UK (a national charity organisation) and a contracts monitoring manager from the local authority to obtain their views about the service provided by the service.

Updated 25 July 2017

The Pavilions is registered to provide personal care to people living in their own flats within an extra care housing complex. There were 37 people receiving personal care from the service when we visited.

This inspection was undertaken by one inspector. At the last inspection on 6 May 2015 the service was rated as ‘Good’. At this inspection we found the service remained ‘Good’.

A registered manager was in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Systems were in place to manage risks to people using the service and to keep them safe. This included assisting people safely with their mobility, environmental risks and medicines.

There were sufficient numbers of staff to safely assist and support people. The recruitment and selection procedure ensured that only suitable staff were employed to provide care and support to people using the service.

The registered manager and staff understood the requirements of the Mental Capacity Act (MCA) 2005. People were supported to have choice and control over their lives as much as possible. Staff supported people in the least restrictive way possible; the policies and procedures in the service supported this practice.

People’s needs were assessed and reviewed, so that their care was delivered in a consistent way. The management staff and care staff were knowledgeable about the needs of people that they supported.

Staff received training to give them the skills and knowledge to meet people’s needs. People were supported and assisted with their personal care needs and their daily routines, and accessing on site services and activities.

People received appropriate support to maintain a healthy diet. Staff offered people assistance in choosing the meals they wished to eat. These choices were respected and actioned by staff.

People were assisted to have access to a range of health care professionals, when they needed them.

Staff knew what was expected of them and staff were observed to assist and support people in a compassionate and respectful way during our inspection.

There were processes in place to assess, monitor and improve the service. People had been consulted about how they wished their care to be delivered and their choices had been respected. People, their relatives and staff were provided with the opportunity to give their feedback about the quality of the service provided.

Further information is in the detailed findings below.