Background to this inspection
Updated
27 May 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 1 inspector and 1 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
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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service a 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included any significant incidents that occurred at the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records relating to 4 people's care and support. These included people's care plans, risk assessments and medicines records. We also reviewed 3 staff recruitment files, 1 agency staff profile, quality assurance audits, incidents and accidents reports, and records relating to the management of the service. We spoke to 2 people using the service.
After the inspection
We spoke with 3 people and 4 relatives about their experience of the care provided. We also contacted 8 staff by email to seek their feedback. In addition, we contacted the local authority to obtain their views.
Updated
27 May 2023
About the service
Radis Community Care (School Gardens) is an extra care housing scheme consisting of 60 individual apartments.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care, which is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Staff were providing personal care to 6 people aged 65 and over at the time of the inspection.
People’s experience of using this service and what we found
People felt safe. There were processes in place to safeguard people from abuse. Risks to people's safety were assessed and reviewed.
People received their medicines as prescribed. Staff wore appropriate Personal Protective Equipment (PPE) such as face masks, disposable gloves and aprons to protect people from the risk of cross infection where needed. There were sufficient numbers of suitably trained staff to support people in line with their needs.
People's care needs were assessed and reviewed. Staff had completed training to know how to care for people effectively. Where necessary, people were supported and encouraged to eat and drink. Information sharing with other relevant professionals was robust and ensured people's health needs were monitored and met. People were supported to have maximum choice and control of their lives. Staff provided them with care in the least restrictive way possible and in their best interests; the policies and systems in the service promoted this practice.
People, their relatives and staff all spoke highly of the support they received from the management team. Feedback from people and relatives was received. There were quality assurance systems in place for the provider to continuously improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 20 July 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 20 and 21 June 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Radis Community Care (School Gardens) on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.