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. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. Staff provided personal care to 14 people aged 65 and over at the time of the inspection.
People’s experience of using this service and what we found
People told us they felt safe with staff and had their needs met. The registered manager and staff members were aware of their responsibility to safeguarding people.
Risks to people’s care and support were not always identified so they could be assessed and where necessary mitigated or control measures put in place to keep people safe. Assessments of needs were not always undertaken prior to people receiving personal care and support. Audits had not always identified shortfalls in the care planning and risk assessing of people’s identified needs.
Management arrangements were not always sufficiently robust to ensure the registered manager was informed of changes within the service. Medicine management was not always safe as records were not always in place and checked regarding people’s current prescribed medicines.
People found the staff to be knowledgeable and staff stated they received the training they required. The registered manager was aware of an area needing staff training and assured us they were addressing this need.
People told us they felt safe with staff and had their needs met. The registered manager and staff members were aware of their responsibility to safeguarding people.
People and their relatives were complimentary about the staff who provided care and support. People’s privacy and dignity was respected and independence encouraged. People did not feel rushed by staff while they were receiving personal care.
Sufficient staff were available to meet people’s needs. Although people were not aware who would be attending their call most were happy with this arrangement. Recruitments checks were in place before new members of staff commenced work with people and staff received induction training. In addition, staff undertook shadowing shifts with experienced members of staff to introduce them to people.
People were happy with the infection control practices carried out by staff and confirmed staff worn gloves and aprons as needed while providing care and support.
The registered manager had recently changed how they reviewed accidents and incidents to improve how they were recorded to identify any trends.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. People’s consent was sought prior to them receiving personal care. People felt able to make a complaint about the service and felt involved in their care. In the event of people having concerns they believed they would be listened to.
People received assistance and support in the preparation of meals where this was needed. In addition, people received support to access healthcare professionals to ensure their health needs were met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 April 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well led sections of this full report. The registered manager took action at the time of the inspection to mitigate the areas needing improvement.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified two breaches in relation to ensuring risks were identified and acted upon as well as ensuring medicine management was in place to keep people safe.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return as per our re-inspection programme. If we receive any concerning information we may inspect sooner.