About the service The Old School House is an extra care service for older people. People lived in 11 studio style flats, with their own tenancy, in one building. There are staff available between 7.30 am to 7pm daily. 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. At the time of the inspection 11 people were living at Old School House, two people were receiving care regulated by CQC.
People’s experience of using this service and what we found
Systems and processes to assess, monitor and improve the quality and safety of the service provided were in place. However, the providers quality monitoring practice did not always identify shortfalls in recording guidance for staff in care plans. We recommend that the provider review their auditing systems and practice in line with current guidance.
We found that the provider was not always following their own policy when recruiting staff. We recommended the provider review their policy and practice in line with current guidance.
People received safe care and support by enough numbers of staff who had been trained to recognise signs of abuse or risk and understood what to do to safely support people. People were supported to take positive risks, to ensure they had as much choice and control of their lives as possible. We saw that people were supported to be as independent as possible with their personal care and mobility.
Medicines were given safely to people by trained and knowledgeable staff, who had been assessed as competent. All new staff completed an induction programme where they got to know people and their needs well. Referrals and advice were sought from relevant health care professionals to ensure people remained as healthy as possible. Everyone we spoke to was consistent in their views that staff were kind, caring and supportive.
People were relaxed, comfortable and happy in the company of staff. People's independence was considered important by all staff and their privacy and dignity was promoted. Staff were committed to delivering care in a person-centred way based on people's preferences and wishes.
There was a stable staff team who were knowledgeable about the people they supported and had built trusting and meaningful relationships with them. People were encouraged to go out and form relationships with family and members of the community.
People, their relatives and health care professionals had the opportunity to share their views about the service. People, their relatives and members of staff were actively engaged in developing the service. The registered manager and the staff team worked in partnership with other agencies to support the development of joined-up care.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 4 July 2019 and this is the first inspection.
Why we inspected
This was a planned first inspection following registration with the Care Quality Commission (CQC).
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.