Haddington Vale Extra Care Scheme

Updated 5 February 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

One inspector an Expert by Experience carried out this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service 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 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

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. 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 eight people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the registered manager, the care manager, a senior support worker and two support workers.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at one staff file 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 5 February 2020

About the service

Haddington Vale is an extra care scheme providing personal care to 36 people. People using the service lived in their own flats in purpose-built building.

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.

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

People received good care from kind and caring staff. One person said, “They are friendly, kind and caring. I can’t fault them.” Staff treated people with respect and encouraged them to be independent.

People and staff told us the service was safe. Staff understood how to keep people safe and knew how to report safeguarding and whistle blowing concerns if needed. People had a consistent and reliable staff team who responded quickly to requests for assistance. The provider had effective procedures to recruit new staff, manage medicines and investigate incidents and accidents.

People were now 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. Staff received good support and the training they needed. Staff supported people to have enough to eat and drink.

People’s needs had been assessed; staff used this information to develop personalised care plans. People knew how to complain if required and previous had been fully investigated.

People and staff confirmed management were approachable. People were involved in reviewing their care and support. People and staff could also share their views about the service. The provider had effective quality assurance systems.

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

Rating at last inspection

The last rating for this service was requires improvement (published 12 February 2019).

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.