Background to this inspection
Updated
9 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 for each person in Saxon Court is a two bedroomed flat with is owner 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.
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 the service to speak with us.
Inspection activity was undertaken on 27 February 2020 when we visited the office location and met with some people in the office.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. 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 took this into account when we inspected the service and made the judgements in this report. We used all information we had to plan our inspection.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, assistant manager and care workers.
We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of paper and computer held records relating to the management of the service, including policies, procedures, daily records and training records were reviewed.
Updated
9 April 2020
Saxon Court is a housing with care scheme for people living in their own flats. The provider of the service is also registered to provide personal care for people living in their own flats within the scheme. At the time of the inspection there were 40 people receiving care and support from the team of staff based in the scheme. People also had access to housing support staff who dealt with issues related to the premises.
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 about 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'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 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 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 who regarded them as approachable. Concerns or complaints were responded to in line with the providers policy and procedures.
People were supported to join in a wide range of activities which were arranged in the service to support their well-being and maintain or develop relationships and interests.
The provider had regularly sought feedback on the quality of the service using questionnaires with people and their relatives. The registered manager also had plans 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
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)
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.