The inspection took place on 27 and 28 July 2016 and was announced. At the last inspection completed 4 December 2013 the provider was meeting all of the legal requirements we looked at.

Alrewych Court is an extra care housing scheme that provides accommodation and care for up to 54 people. As part of the scheme the service is registered with CQC to provide personal care to people living at the scheme. At the time of the inspection there were 30 people using the service for support with personal care. There was a registered manager in post. 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.

People were protected by a staff and management team who knew how to recognise and report potential signs of abuse. Staff understood the potential risks to people’s safety and knew how to reduce the risk of harm to people. People were supported by sufficient numbers of care staff who had been recruited safely for their roles. People did not always receive their medicines as prescribed.

People were enabled to consent to their care and support. People were cared for by staff who had the skills to support them effectively in most areas of their care. People were supported to meet their nutritional and day to day health needs.

People were supported by a staff team who were caring in their approach and understood their needs. People were enabled to make day to day choices about their care. People’s privacy, dignity and independence were promoted and they were treated with respect. People were supported to maintain important relationships with friends and relatives.

People and their representatives were involved in planning and reviewing their care. The care people received met their needs and preferences. People were supported to take part in leisure opportunities. People told us they knew how to complain and felt confident their concerns would be addressed by management.

People told us the service was well-led and they felt supported by the staff team and registered manager. People were supported by a committed, motivated staff team who felt supported. Quality assurance checks were completed across the service to identify areas for improvement and further develop the service provided to people. Where improvements were required in these quality assurance systems the registered manager proactively made changes.

Alrewych Court is an Extra Care Housing scheme for people aged 55 years and over. A domiciliary care service is also provided at for people in the scheme and in the community.

During the inspection, we found some of the people who lived at the Court had care requirements. Staff were available 24 hours a day to provide care and support to people who lived at the Court. Alrewych Court was not required to be registered with CQC for accommodation, as people were living in their own homes. They were registered to deliver personal care to people; this is the area we looked at during the inspection.

The care staff we spoke with were knowledgeable about the care requirements of the people who lived at the Court and those who received domiciliary care. Care plans were in place and being further developed to support staff in the delivery of consistent care and support. This included supporting people with their prescribed medication.

An induction process was in place for newly appointed staff. Staff also had access to an annual update of mandatory training, for example moving and handling, nutrition and infection control. A schedule was in place for staff to receive annual appraisals and regular supervisions with a manager or senior member of staff.

There was a complaints process in place; the people that we spoke with told us they were aware of the complaints procedure. People were confident their complaints would be listened to and managed appropriately.

We carried out this review to check on the care and welfare of people using this service. We visited Alrewych Court in order to up date the information we hold about the service and to establish that the needs of people using the service were being met. The visit was unannounced which meant the provider and the staff did not know we were coming

Alrewych Court was an Extra Care Housing provision for people aged 55 years and over who had care needs. Staff were available 24 hours a day. Alrewych Court are an extra care housing provision therefore they were not required to be registered with CQC for accommodation, this was because people were living in their own homes. They were however registered to deliver personal care to people, this is the area we looked at during the inspection.

Alrewych Court also provided domiciliary care to people living in the community. The service was previously located at Arbor House, Butts Street, Walsall, and had recently moved to Alrewych Court. This service is now managed from there.

We viewed training records and spoke to staff about training. The staff we spoke with told us training was available to support their knowledge and development. We saw records that confirmed that staff had one to one supervisions and appraisals with a senior member of the care team or the manager.

During the inspection we looked at the process the service had in place to monitor the quality of the service it provided.

We spoke to five people who live and receive personal care from Alrewych Court staff, and one relative. People told us that they were generally happy with the care they received. One relative told us that "It is really good here the flat and the set up allow's my relative to maintain their independence, the staff are good". People told us that they had a plan of care and that they had been consulted on their care needs so that care could be provided to meet their needs and capabilities. People told us that staff were respectful and always polite. They said "We are happy with what care we have" and " I am never worried I feel very safe here".

People have access to a range of facilities including a computer room, lounge areas, hairdressers and restaurant which they can access as and when they choose to.

There is a tenants committee which plans and organises a range of events that people can take part if they choose to.

People told us that they had an agreed number of visits. Relatives we spoke to told us that their relatives received numerous visits for care to be provided during the day and at night.

Some people have their medication administered by staff. There is a need for improvements to be made to the management of people's medicines to ensure that people receive their medicines safely and as prescribed.