About the service Toldene Court was previously known as London Care (Toldene Court). London Borough of Croydon took back the management and operation of the service from the previous care provider in January 2020.
Toldene Court provides personal care and support to people living in self-contained flats located in a single building. This is known as extra care housing and is operated by an independent housing provider which is also the London Borough of Croydon. 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. At the time of this inspection there were 37 people being provided with personal care and support by the service.
People’s experience of using this service and what we found
There were enough staff to support people safely and people received timely care. Staff recruitment procedures were in place to check staff were safe to work with people, although recruitment was on hold pending a restructure. People’s medicines were managed safely by staff through effective processes.
Staff understood how to safeguard people from abuse and neglect and processes were in place to do this. Staff followed best practice in reducing the risk of infections such as COVID-19. The provider liaised closely with the local authority, who was the landlord, to ensure health and safety and cleanliness standards were maintained.
Staff received the right training to understand and meet people’s individual needs and preferences. Staff felt well supported and received regular supervision from their line manager. People were supported to maintain their mental and physical health and to maintain contact with professionals involved in their care. People received food and drink of their choice and an external company delivered meals each day if people requested this. People were supported 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 liked the staff who supported them and built good relationships with them. People were supported to maintain their independence so they could continue living in this extra care scheme. Staff treated people with dignity and respect and people were involved in planning their own care. People’s care plans reflected their needs and preferences which staff understood and met. Activities were available for people to take part in, based on their interests. Relatives could visit family members without unnecessary restrictions. People were encouraged to raise any concerns or complaints and the provider had a complaints team to investigate if necessary.
The registered manager notified CQC of significant events, such as allegations of abuse, as required by law. The registered manager and staff understood their role and responsibilities. The provider communicated openly with people and staff through regular meetings and surveys. Staff felt well supported by the registered manager. The provider undertook checks to monitor, review and improve the quality and safety of the service and addressed any issues found promptly.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 3 January 2020 and this was the first inspection.
The last rating for the service under the previous provider was Good, published on 13 March 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.