Background to this inspection
Updated
7 August 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
The inspection team consisted of one inspector.
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 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 needed to be sure that the provider would be in the office to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.
During the inspection
We spoke with six people using the service to ask about their experience of care. We spoke with two provider representatives, the registered manager, a staff member with responsibilities for promoting people health and welfare and six care staff. We also spoke with a member of staff with responsibilities for providing training to staff.
We looked at four people's care records, multiple medication records, information relating to the quality and management of the service, including systems for managing any complaints, accidents or incidents, ways staff communicated and key policies. We also looked at three recruitment and induction files and staff training records.
After the inspection
We sought clarification from the registered manager to ensure staff had received the training which reflected the specific needs of some of the people they cared for.
Updated
7 August 2019
About the service
Radis Community Care (Cherry Orchard House) is a service providing personal care to people in their own homes. The service supports older and younger people who may live with dementia, learning disabilities or autistic spectrum disorder, or sensory impairments. Twenty-nine people were in receipt of care at the time of the inspection.
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.
People’s experience of using this service and what we found
People told us they could rely on staff providing the care agreed, including support to manage medicines they needed to remain well. Staff promoted people’s safety by supporting people to reduce the risks they experienced. Processes were in place to take any learning from any incidents.
People told us they liked the staff who supported them and found them to be considerate and kind. People said staff were interested in their welfare and treated them with dignity and respect. Staff encouraged people to make their own choices and recognised people’s right to independence.
People told us staff knew how to help them. People’s needs were assessed, and they were supported to see other health professionals and have enough to eat and drink, so they would enjoy the best health possible. 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; the policies and systems in the service supported this practice.
People were involved in deciding what care they wanted. Staff recognised when people’s needs changed and supported people to ensure their preferences and needs were met. People enjoyed a range of activities with support from staff, which helped to reduce the likelihood of them becoming isolated. Systems were in place to take learning from any complaints. Staff considered people’s end of life wishes and worked with other agencies to enable people to remain in their own homes at the end of their lives, where this was people’s preference.
People and staff considered the service to be managed well and were encouraged to make suggestions for developing it further. Their suggestions were acted on. The registered manager understood their responsibilities, checked the quality of the care provided and worked with other organisations to drive through improvements to people’s care. The registered manager planned to further develop key aspects of the service, to ensure people’s safety and care preferences would continue to be 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 09/07/2018 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.