Housing 21 - Rohan Gardens

Updated 29 September 2022

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

The inspection visit was carried out by two inspectors.

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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure the registered manager would be available to support the inspection and people would be at home to speak with us.

Inspection activity started on 22 August 2022. We visited Rohan Gardens on 23 August 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 information gathered as part of monitoring activity that took place in June 2021 to help plan the inspection and inform our judgements.

We used all this information to plan our inspection.

During the inspection

We spoke with five people who received care from the service and two relatives. We spoke to the registered manager and three care staff. We reviewed a range of documents including three people’s care records, three staff recruitment files, staff training records, quality audits and checks the registered manager completed to assure themselves people received safe and good quality care.

Updated 29 September 2022

About the service

Rohan Gardens is an extra care service, which provided personal care to people living in their own homes in a 42-apartment residential area of Warwick. People are supported by staff during pre-arranged care calls. At the time of our inspection there were 20 people using the service.

People’s experience of using this service and what we found

There had been improvements in the way service promoted people’s safety and was led.

People were confident staff would assist them if they required any support with their safety. Risks to people’s safety were now appropriately assessed and monitored. People’s care plans and risk assessments were regularly updated as their needs changed. Staff had completed training linked to people’s specific safety needs and promptly took action to support people when they wanted assistance. People were supported to have the medicines they needed to remain well. Staff took action to reduce the likelihood of the spread of infections.

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.

Improvements had been made to the way the service was managed and monitored. Governance systems now alerted the registered manager to any concerns or improvements required in the safety and quality of the service. There was a positive and open culture within the service. People had opportunities to share their views about the service and were complimentary about the support they received. People and staff told us the registered manager was visible and approachable. The service worked positively in partnership with health and social care colleagues to meet people’s needs.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Rating at last inspection and update.

The last rating for this service was requires improvement (published 26 February 2021) and there were breaches of regulation. 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

This inspection was prompted by a review of the information we held about this service, including the findings at our last inspection.

We carried out an announced focused inspection of this service on 28 January 2021. 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 the management of people’s safety and how the service is run.

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 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 based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Housing 21- Rohan 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.