Centurion House

Updated 11 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was 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 inspection took place on 1 November 2018 and was an announced inspection. We told the provider two days before our visit that we would be coming. We did this because the manager is

sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that someone would be in. This inspection was conducted by one inspector.

Before the inspection we looked at previous inspection reports and notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern.

We spoke with three people, one relative, three care staff, the manager and the operations manager. We looked at five people's care records, three staff files and medicine administration records. We also looked at a range of records relating to the management of the service.

Updated 11 December 2018

We undertook an announced inspection of OSJCT Centurion House on 1 November 2018.

Centurion House offers domiciliary care and twenty four hour emergency cover for up to twenty people in self-contained flats. The accommodation is either rented or shared ownership and is contained in a new building, located in Bicester Oxfordshire. The service has been in operation at this location since June 2012 and is part of the Order of St John Care Trust. On the day of our inspection six people were receiving a personal care service.

There was a not registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. However, we saw evidence that the post of registered manager had been recruited to.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated good:

The service continued to provide safe care to people. Staff had received training in safeguarding adults and understood their responsibilities to identify and report any concerns. The provider had safe recruitment and selection processes in place, these included completing checks to make sure new staff were safe to work with vulnerable adults.

Medicines were managed safely and people received their medicines as prescribed. People's care plans contained risk assessments which included risks associated with people’s care. There

were sufficient staff deployed to meet people's needs.

People continued to receive effective care from staff who had the skills and knowledge to support them. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health.

The service continued to provide support in a caring way. People benefited from caring relationships with staff who treated them with dignity and respect. People were involved in their care and supported to remain independent.

The service continued to be responsive. People received personalised care by staff who understood people's individual needs and preferences. People's changing needs were responded to appropriately.

The service continued to be well led by a manager and care provider who were open, honest and transparent. The manager continually monitored the quality of the service.