22 February 2018
During a routine inspection
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.
Not everyone using Manorcourt Homecare receives personal care; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where people received personal care we also took into account any wider social care provided. At the time of the inspection the registered provider was providing support to a total of 56 people across the independent living, extra care schemes and those people living in their own residential homes and flats.
A registered manager was in post. 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 and associated Regulations about how the service is run.
At the last inspection in July 2015, the service was rated 'Good'. At this inspection we found the service had maintained a rating of ‘Good’'.
People who used the service and their relatives told us they felt safe. They told us staff were reliable, caring, respectful in their approach and knew them well.
Robust recruitment procedures were in place. Staff had received training in safeguarding adults and were aware of the correct action to take if they witnessed or suspected any abuse.
The registered provider evidenced and promoted person centred care and support for people. Care records were very detailed and person centred and contained information about people's health and social care needs.
Risk assessments and care plans provided staff with sufficient detail to guide them on how best to support people. They contained information about people's preferences and routines and guided staff on how to promote people's independence. A system was in place to ensure care plans were regularly reviewed and updated.
People were supported to access the community, healthcare appointments and places of interest to them.
Arrangements were in place to help ensure the prevention and control of infection and staff were provided with appropriate personal protective equipment such as gloves and aprons.
Staff received training in administration of medicines and systems in place ensured people received their medicines safely.
The provider was working within the principles of the Mental Capacity Act 2005 (MCA). Staff were able to tell us how they supported people to make their own decisions. The manager in the service was aware of the process to follow should a person lack the capacity to consent to their care.
Staff received an induction and were provided with a wide range of training that would help them carry out their roles effectively. Staff had regular supervisions and team meetings and told us they felt very well supported by the organisation and managers from the service. Staff told us they enjoyed the work they did and enjoyed working for the service.
People were supported with their nutritional needs.
The service had robust quality assurance systems and these were used to help improve the quality of the service provided. There was a complaints procedure for people to voice their concerns. Where complaints had been made, these had been managed appropriately.
People who used the service and their relatives had been asked to feedback on staff and the service they received. The registered manager, other supervisors and staff we spoke with demonstrated a commitment to providing high quality care.