MHA Care at Home - Rosetti Branch

Updated 7 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 16 November and 5 December 2018 and was announced. We gave the service 24 hours' notice of the inspection visit to make sure the registered manager would be in. An adult social care inspector carried out the inspection on both days.

Before the inspection, we used the information the provider had sent to us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed other information we held about the service such as safeguarding alerts, share your experience forms and notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law.

We visited three people in their own homes and spoke with two relatives. We spoke with the registered manager, area manager and five care staff. Additionally, we spoke with one visiting heath care professional. Following the inspection, we received feedback from 11 care staff and 11 completed questionnaires from people. We contacted three health and social care professionals and received no replies.

We reviewed three people’s care and medicine records, looked at two staff files and reviewed records relating to the management of the service including staff recruitment, training and supervision, complaints, accident reports, minutes of meetings, governance and the overall monitoring of the service.

Updated 7 February 2019

This unannounced comprehensive inspection took place on 16 November and 5 December 2018 by one adult social care inspector.

Methodist Homes Associate Care at Home – Rosetti branch is a domiciliary care agency and extra care housing service. It provides personal care to people living in specialist ‘extra care’ housing. Extra care housing is purpose built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements.

The Care Quality Commission does not regulate premises used for extra care housing; this inspection looked at people who received a ‘personal care’ service only at Norah Bellot Court. There were 17 people receiving this regulated activity on the days of inspection and this totalled a number of 107 care hours per week.

At our last inspection, we rated the service as good. At this inspection we found the evidence continued to support the rating of good and there was no evidence from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good.

People spoke highly of Norah Bellot Court and enjoyed living there. One person likened it to winning the lottery.

There were sufficient staff available to meet people’s care, support, security and wellbeing. A robust recruitment and selection process ensured only staff who had the right skills and were suitable to work with people living at the home. Staff underwent a thorough induction process and received regular training and updating in their job roles. Their practice was regularly checked and staff supervisions carried out.

Staff were kind, caring and liked by people. People spoke fondly of them and were comfortable in the presence of staff. Meaningful interactions and relationships had developed. People were supported to maintain their independence and help themselves as much as they could.

Staff spoke unanimously about Norah Bellot Court being a good place to work and that they were proud to work there. All staff spoke well of the registered manager and felt included, supported and valued by them. Staff worked well as a team and cared for each other as well as the people they looked after. There were incentives in place and recognition for staff for good practice.

Each person had a care plan in place which reflected their care needs and had any risks identified and managed. People’s medicines were managed safely and staff ensured people’s health and social care needs were met.

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. Staff had a good working knowledge of the Mental Capacity Act 2005 and how it was embedded in their practice.

A variety of activities took place and people were encouraged and welcomed to join others in the communal areas to prevent social isolation and build relationships with each other.

People were supported to maintain a healthy balanced and nutritious diet and took advantage of the restaurant on site.

There was a variety of continuous monitoring of the service with a variety of systems in place to do this. Complaints were dealt with swiftly and resolved before they became an issue.

Further information is in the detailed findings below.