Background to this inspection
Updated
17 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This comprehensive inspection was carried out on 25 April 2019 by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
Radis Community Care (Quince Court) is an Extra Care housing service for adults.
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 less than 48 hours’ notice of the inspection visit, because the registered manager is responsible for two other registered services and we needed to be sure that they would be available.
What we did:
Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
Before this inspection we checked the information, we held about the service and the provider, such as notifications. A notification is information about important events which the provider is required to send us.
The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also asked for feedback from the local authority who have a quality monitoring and commissioning role with the service.
We spoke with seven people using the service, the area manager, registered manager, two care staff and the housing association (who provide the accommodation) warden.
We then looked at various records, including care records for two people, as well as other records relating to the running of the service. These included staff records, medicine records, audits and meeting minutes; so that we could corroborate our findings and ensure the care and support being provided to people was appropriate for them.
Updated
17 May 2019
About the service:
Radis Community Care (Quince Court) is an Extra Care housing service. 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.
Quince Court consists of 29 one and two-bedroom apartments in one building, set out over three floors. Shared facilities included two lifts, a laundry, communal lounge and dining room, guest facilities, garden, conservatory and assisted bathing facilities. CQC does not regulate premises used for extra care housing; this inspection therefore only looked at people’s personal care [and support] service.
Not everyone using Radis Community Care (Quince Court) receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection 22 people were using the service, 14 of whom were receiving personal care, but three of these people were in hospital.
People’s experience of using this service:
People told us they would recommend the service to others. One person said, “(Staff are) always very pleasant, very respectful and we have a laugh together and that always releases any worries.” Another person added, “I have no complaints. All the ladies (staff) are very caring and never unkind. They always cheer me up. They always find out first how I am.”
People were protected from abuse and avoidable harm and risks to people were managed safely.
There were enough staff, with the right training and support, to meet people’s needs and help them to stay safe. Staff provided care and support in a kind and compassionate way.
The service acted in line with legislation and guidance regarding seeking people’s consent. People were enabled to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received personalised care. Their privacy, dignity, and independence was respected and promoted.
Systems were in place for people to raise any concerns or complaints they might have about the service. Feedback was responded to in a positive way, to improve the quality of service provided.
There was strong leadership at the service. The management team and the service culture they created drove and improved high-quality, person-centred care.
Arrangements were in place to involve people in developing the service and seek their feedback. Plans were underway to enhance the systems in place to monitor the quality of service provision and to drive continuous improvement. Opportunities for the service to learn and improve were welcomed and acted upon, and the service worked in partnership with other agencies for the benefit of the people living there.
Rating at last inspection:
This is the first ratings inspection for Radis Community Care (Quince Court) since it registered with the Care Quality Commission in March 2018.
Why we inspected:
This was a planned inspection as part of CQC’s routine inspection programme.
Follow up:
We will continue to monitor information about the service and will carry out another inspection in accordance with our published inspection programme. If any concerning information is received in the interim, we may inspect sooner.
For more details of this inspection, please see the full report which is on the CQC website at www.cqc.org.uk.