20 April 2023
During a routine inspection
Apex Prime Care - Matilda Place provides care and support to people living in 2 'extra care housing' settings in Winchester known as Matilda Place and Danemark Court. People there live in their own flats with some shared facilities. Staff also provide a domiciliary care service to people living in the community. The service provides support to older and younger adults who may be living with a physical disability, sensory impairment, dementia or mental health diagnosis. At the time of the inspection the service was supporting a total of 46 people.
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 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. However, we have recommended the provider reviews their practice.
The provider had systems, processes and practices in place to protect people from the risk of abuse and any learning from incidents was shared. Staff assessed potential risks to people and measures were in place to manage them safely. The provider ensured there were sufficient staff to meet people’s care needs. People received their medicines safely from trained and competent staff. Staff ensured people were protected from the risk of acquiring an infection.
People's needs were assessed and their care was planned with them, taking into account best practice guidance and legislation. Staff received the required training for their role and were supervised and supported in their work. Staff ensured people received any support they required to eat and drink. The registered manager ensured there was close working both within the team and with external services, so people received joined up care and their health care needs were promptly identified and met.
Staff treated people in a kindly manner and with compassion. People were encouraged to express their views and to be involved in decisions about their care. Staff ensured people’s privacy, dignity and independence were promoted.
People received personalised care in response to their individual needs and their care was planned with them. Staff provided stimulation for people in both supported housing schemes, which was tailored to people’s needs. People were able to raise concerns and complaints and these were acted upon. People who wanted to receive end of life care in their home were supported well by staff.
There was a positive culture focused on providing good care for people. There were clear and effective management arrangements in place. Processes were in place to monitor the quality of the service provided and to drive improvements. People, relatives and staff were involved in the service. Staff worked in partnership with a range of agencies to support the delivery of people’s care.
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 18 March 2021 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 17 May 2019.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.