Background to this inspection
Updated
10 September 2019
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 carried out by one inspector.
Service and service type
The Paddock provides personal care support to people who live in self-contained flats. The accommodation is 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 24 hours’ notice of the inspection. This was because people are often out, and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with three members of staff including the registered manager and two care workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality monitoring records and policies and procedures.
Updated
10 September 2019
About the service
The Paddock provides personal care support and practical assistance to people with a mental health condition, physical disability, sensory impairment, dementia and older people who live in self-contained flats owned by Methodist Homes. The service has 26 flats and can provide personal care support to up to 26 people. At the time of the inspection, five people were receiving personal care support.
People’s experience of using this service and what we found
People told us they liked their flats and felt safe living at the service. People received care at their preferred and agreed time. People were supported by staff who knew how to safeguard them from the risk of harm, abuse and neglect. People received safe medicines support. They were supported by suitable and sufficient staff. People were protected from the risk of the spread of infection.
People's needs were assessed before they moved to the service and started receiving care. People were supported to live healthier lives and access ongoing healthcare services. People told us their needs were met by staff who felt supported and received appropriate and regular training and supervision.
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.
People told us staff were caring and treated them with dignity and respect. People were supported by staff who treated them as individuals and supported them without discrimination. People's care needs in relation to most of their protected characteristics were recorded and met. People were encouraged and assisted to maintain their independence as much as possible.
People told us they received care that met their personal needs. People were supported by staff who knew their wishes, likes and dislikes. People and relatives were encouraged to raise concerns and told us they knew how to make a complaint.
People, relatives and staff told us they found the management approachable. The provider had systems in place to ensure the safety and quality of the service.
People and staff were asked for their feedback to improve care. However, the provider did not proactively engage relatives to seek their feedback. We have made a recommendation about engaging and involving relatives to drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was requires improvement (published 13 September 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.