Background to this inspection
Updated
1 April 2020
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 Care Act 2014.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
This service provides care and support to people living in ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation for each person 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.
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 wanted to be sure there would be people at the service to speak with us.
Inspection activity was undertaken on 25 February 2020 when we visited the office location and met with some people in the office.
What we did before the inspection
We reviewed information we had received about the service since the last inspection.
We used all this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, senior team leader and care workers.
We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of paper and computer held records relating to the management of the service, including policies, procedures, daily records and training records were reviewed.
Updated
1 April 2020
About the service
Adlington House – Wolstanton is an extra care housing scheme for people living in their own flats or in flats with a tenancy. The provider of the service is registered to provide personal care to people who live in Adlington House. At the time of the inspection Adlington House had 64 people living in flats within the scheme and 11 of the people were in receipt of personal care.
People’s experience of using this service and what we found
People were protected from the risk of harm or abuse by staff who were trained to deliver safe care and knew about action to take if they felt people were at risk. People and their relatives expressed confidence in the care and support provided by staff who they found to be reliable and caring. Staff recruitment processes were safe and robust to ensure people were supported by suitable staff of good character.
People and their relatives said staff safely supported them with their individual mobility equipment when they needed assistance to move, and any administration of medication by staff was well managed.
People's care and support needs were assessed and regularly monitored to ensure they were current and being met. People’s choices, and legal rights were promoted and protected by staff who had received up to date training which the staff felt equipped them well to deal with any issues.
People were supported to have maximum choice and control of their lives and staff advised they had been trained to support people in the least restrictive way possible and in their best interests. People made positive comments about the care and support they received from staff.
People were supported to join in a wide range of activities that were arranged in the service to support their well-being and maintain or develop relationships and interests.
People and relatives said the staff responded well to changes in how people were to be supported. Agreed plans of care reflected the full care and support needs of people.
People and their relatives expressed confidence that any concerns or complaints would be properly addressed. People and their relatives knew the registered manager and regarded them as approachable. Concerns or complaints were responded to in line with the providers policy and procedures.
The provider had regularly sought feedback on the quality of the service using questionnaires and surveys with people. The registered manager had plans in hand to improve how information from the analysis of the questionnaires was shared. The quality of care provided was regularly checked by the registered manager to ensure standards were maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection based on the previous rating.
Rating at last inspection
The last rating for this service was good (report was published in August 2017).
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.