About the service Housing and Care 21- Cambrian Green Court is an extra care housing scheme for older people, comprising of 60 individual flats in one large building. The 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 our inspection, the service supported 35 people with personal care.
People’s experience of using this service and what we found
People received exceptional, person-centred care from the onset. Their wishes were understood and close relationships between people, staff and families had developed. Family members told us the care their relatives received was exceptional and had far exceeded their expectations.
There was a high quality, bespoke and flexible approach towards people’s changing needs and preferences. The service was responsive to people’s needs and was able to accommodate sudden changes in people’s needs. People were empowered to achieve their goals. Activities and social groups had been arranged by the registered manager and staff which was promoted to prevent social isolation.
People received a high level of individualised care and were supported by staff that were kind, caring and compassionate. Staff valued people as individuals and had formed supportive relationships with people. Staff knew how people preferred their care and support to be provided. People were placed at the centre of the service and were consulted on every level. Respect for privacy and dignity was at the heart of culture and values of the service.
The registered manager led by example and used all opportunities to drive continuous improvement at the service. People were very much at the heart of the service. People, staff, relatives were fully involved in developing the service to ensure high quality care. They felt their views were important and opinions acted upon. People and staff spoke highly about the registered manager and felt the service was managed exceptionally well. Staff were motivated and spoke with pride about working at the service.
People had their risks assessed and planned for to help keep them safe. Staff understood their safeguarding responsibilities and knew how to keep people safe. People were supported to have their medicines as prescribed and were protected from the risk of cross infection. Lessons were learned when things had gone wrong. Appropriate recruitment checks took place before staff started work and there were enough staff available to meet people's care and support needs.
The care provided by the service was effective. Staff were well trained and supported by
wider health and social care professionals. The registered manager was committed to upskill staff to enable them to support people to achieve their best outcomes.
Staff had a good understanding of the mental capacity act and knew how to support people to make informed choices about their care. Should people lack capacity this was quickly identified, and measures put in place to support those people in line with their preferences and goals.
The service had established links in the local community and had worked in partnership with key
organisations including local authorities and other agencies that provided social care services to improve people's opportunities and experiences.
Rating at last inspection
The last rating for this service was Good (report published in December 2016).
Why we inspected
This was a planned inspection based on the previous rating.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk