Stoke Gifford Village

Updated 23 January 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 carried out by one Inspector

Service and service type

Extra Care Charitable Trust Stoke Gifford Village provides care and support 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 a mix of rented, shared ownership and outright sale, 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.

Notice of inspection

We gave the service 24 hours’ notice of our visit. This was so we could make arrangement to meet with people.

What we did before the inspection

We reviewed information we had received about the service . 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 this information to plan our inspection.

During the inspection

We spoke with nine people who used the service and four relatives about their experience of the care provided. We also met five people who lived at the Village but did not receive the services offered by Extra Care.

We spoke with nine members of staff including the registered manager, the day to day manager, senior care workers and care workers.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 23 January 2020

Stoke Gifford Retirement Village has 261 apartments. There are apartments for outright purchase, shared-ownership and rent. The service’s aim is to bring village living within reach of people across a range of circumstances, including those on low incomes or with limited savings.

Not everyone who used the service received personal care. 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. Currently 66 people were being supported by the Extra Care Service at the Village.

People’s experience of using this service and what we found

People really benefitted from living in a service that had created a positive and supportive community. The service worked extremely hard to maintain a community feel with other services in the area. For example, with local schools and churches. People, family members and members of the local community were really encouraged to be involved in the daily running of the service. Working in partnership with community groups and other health professionals helped ensure people experienced very good outcomes and a high quality of daily life.

People were supported with their care by a team who used a person-centred, holistic approach. This was when assessing, planning and delivering people's care and support. Regular, skilled, in-depth assessments and reviews were completed. These were undertaken by the wellbeing advisor and the dementia and mental health specialist who both had unique roles at the village. This meant people received very skilled effective support that resulted in excellent highly positive outcomes.

The service was using technology to enhance people's support and increase their independence. The service had been innovative in its approach to supporting people in this area to improve wellbeing. They had worked very hard to understand how people's lifestyles and feelings had impacted on their health and wellbeing.

Wi fi was available throughout the whole Village and used to stay close to people by many of those we met.

Healthcare professionals spoke extremely positively about the service and the impact this had on people. The collaborative working adopted by the service had resulted in people being able to live more independent fulfilled lives since moving to the village.

Staff provided good care and support that was given in the ways people preferred. This meant people experienced very highly consistent and positive outcomes. Staff worked hard to provide a consistently better quality of life for people by supporting them to develop in areas such as social interaction and independence. People spoke highly of the support they received. People were proactively encouraged to live very fulfilled lives and do what they chose. Staff encouraged them to be as independent as possible whilst ensuring they remained safe.

Risks that people faced were identified and assessed and measures were put in place to manage them and minimise the risk of harm occurring. Staff showed a good understanding of their roles and responsibilities for keeping people safe from harm. Medicines were managed safely and people received medication at the right time. People told us they felt safe living in the village.

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. Policies and systems in the service supported this practice.

Staff were very motivated to support people with care in a person-centred way. This meant care was always based on people's preferences. The management team and staff had developed strong, familiar and positive relationships with people and family members. The management team and staff were observed to be warm and affectionate towards people.

The leadership of the service led by example and there was a positive culture that was person centred . Everyone we spoke to said the management team was supportive and approachable. The management team showed a continued desire to improve on the service and worked closely with other agencies and healthcare professionals to do this. Effective systems were in place to check on the quality and safety of the service and improvements were made when required.

Why we inspected

This service was registered with us on 14/11/2018 and this is the first inspection.

This was a planned inspection based on the date of registration.

For more details, please see the full report for Stoke Gifford Retirement Village which is on the CQC website at www.cqc.org.uk