Background to this inspection
Updated
30 August 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is 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 the 25 July 207 and the first day was announced. The inspection was carried out by one adult social care inspector. We contacted the registered manager 48 hours prior to our visit and advised them of our plans to carry out a comprehensive inspection of the service. This was to ensure the registered manager and relevant staff would be available to answer our questions about the service.
Before our inspection we reviewed information that we held about the service This included safeguarding and incidents notifications which the provider had told us about. Notifications are changes, events or incidents that the provider is legally obliged to send to us without delay.
We sought feedback from Oldham Healthwatch and Oldham’s Local Authority Quality Assurance team. We did not receive any negative feedback.
During our visit we spoke with the care coordinator, the area manager for City and County Healthcare Group which is the parent company, three care staff and two people who used the service. Subsequent to our inspection site visit we made telephone calls to four relatives to get their opinion of the care that was provided.
As part of the inspection we reviewed three people’s care records, which included their care plans and risk assessments. We also reviewed other information about the service, including three staff personnel files with their recruitment and training records, the complaints records and the records of accidents and incidents.
Updated
30 August 2017
We carried out an announced comprehensive inspection on 25 July 2017.
Comfort Call Old Mill House provides ‘Extra Care Housing’. Extra Care Housing supports people to live independently in their own homes within a community setting. Old Mill House has 42 self-contained apartments, several lounges, a restaurant, laundry and a garden. The maintenance of the building and grounds is managed by Housing & Care 21. This is a not-for-profit organisation which manages a number of sheltered and extra care housing schemes on behalf of Oldham Council. Care and support services at Old Mill House are provided by a team of on-site care staff who are part of the ‘Comfort Call’ organisation. Day-to-day management of the building is carried out by a ‘court manager’. Overnight there is a concierge who looks after the building and responds to any emergency calls from people living there. Some of the people living at Old Mill House were not in receipt of care. However, at the time of our inspection 21 people living there were receiving care and support from the on-site care team.
At the time of our inspection there was a person who was in the process of registering with the Care Quality Commission to become the registered manager of the service. However, this process was not yet complete. 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. The day-to-day management of the care team was carried out by a care coordinator, who was present at our inspection.
People who used the service and their relatives told us they felt safe with the service provided at Old Mill House. Staff had a good understanding of the procedures needed to keep vulnerable people safe and what action they should take in order to protect people in their care. Recruitment procedures were robust and ensured new staff were suitable to work with vulnerable adults.
All new staff received an induction. Staff received regular training which equipped them with the skills and knowledge required to care and support people. All staff received regular supervision to support them in their roles.
The service was working within the principles of the Mental Capacity Act (2005). Staff sought consent before undertaking care and support, offered choice and encouraged independence.
People were complimentary about the caring nature of the staff and told us they were always treated with dignity and respect. Care plans were person-centred and were reviewed regularly to ensure the information was relevant and up-to-date.
There was a complaints procedure for people to raise any concerns they may have.
Regular staff meetings were held to discuss issues around the service and provide feedback to staff. Weekly and monthly audits and checks ensured the quality of service was monitored.