Background to this inspection
Updated
11 May 2023
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
This inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to some people living in their own flats within an extra care scheme facility.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be on site to support the inspection. Inspection activity started on 6 April 2023 and ended on 21 April 2023. We visited the location’s office on 12 April 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since its registration. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We visited and spoke with 6 people who used the service and 4 family members / representatives about their experience of the care provided. We spoke with 6 members of staff including the registered manager, a care co-ordinator, a quality business partner and 3 care workers.
We reviewed a range of records. This included 5 people's care records and 3 people’s medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including electronic call records, audits and policies and procedures were reviewed.
We contacted 3 professionals involved with the service and continued to liaise with management around the secure supply of electronic evidence.
Updated
11 May 2023
About the service
Village 135 is an on-site domiciliary care agency that provides personal care and wider support to people living in a specialist housing setting. The provider, Premier Care, offers the service that supports older people, those living with dementia and some with long-term health conditions. At the time of our inspection, they were supporting 23 people living in individual flats within the wider extra care scheme. People had access to other services on the village site, such as a bistro café, a hairdresser’s salon and spa bath facilities.
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, their relatives and staff told us the care provided by Premier Care at Village 135 was safe. Policies and procedures in place, supported by systems of governance, guided staff on how to keep people safe and what they had to do if they had concerns. Staff knew how to identify and raise concerns about safety; they were confident the service would take them seriously.
Medicines were managed safely. Risk assessments and appropriate care plans had been developed to meet people's needs. There were enough safely recruited staff to meet the needs of people using the service. Staff received an induction when they started work. Ongoing training was provided to the staff team to ensure their skills and knowledge remained up to date. Safe infection control procedures in place, along with good staff practice, reassured people they would be kept safe from the spread of infection.
The core team of staff supported the same people as much as possible. This meant the staff knew the people they cared for well. Staff understood how to promote people's independence and ensured the care they provided treated people with dignity and respect. People's communication needs were considered and met.
The registered manager understood their responsibilities. Quality assurance processes were robust. The registered manager, supported by other senior staff, could monitor standards of care delivery with a range of checks and audits. Staff were well supported by the care coordinator, registered manager and wider company management.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 20 January 2022 and this is the first inspection.
The last rating for the service under the previous provider was Good, published on 17 March 2018.
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Village 135 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.