We undertook an announced inspection of OSJCT Mayott House on 21 November 2018. 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 bought or 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. At the time of our inspection there were 22 people receiving support with personal care.

There was a not 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. However, the manager had applied to CQC to register as the registered manager.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated good:

People continued to benefit from a safe service that ensured risks were identified and managed. Staff understood their responsibilities to identify and report concerns relating to risks of harm and abuse.

Medicines were managed safely and ensured people received their medicines as prescribed. There were sufficient staff deployed who had the skills and knowledge to ensure people's needs were met.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to maintain good health.

People benefited from caring staff who showed kindness and compassion. Staff treated people with dignity and respect. People were involved in their care and supported to remain independent.

The service continued to be responsive. Staff supported people in a way that ensured their needs were met and recognised them as unique individuals. People's changing needs were responded to appropriately.

The service continued to be well led. There was an open culture that ensured people could approach the management team if they had any concerns. The manager, area operations manager and team leader continually monitored the quality of the service to ensure continuous improvement.

The inspection took place on 12 May 2016.

Mayott House provides domiciliary care and twenty four hour emergency cover for people in self-contained flats. The service is an Extra Care Housing Scheme and is run by The Order of St John Care Trust. On the day of our inspection 25 people were being supported with aspects of their 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.

There was a friendly, cheerful atmosphere throughout the day. People gathered in communal areas of the building where staff stopped to speak with them whenever they were passing.

People were complimentary about the registered manager and staff. The registered manager promoted a person-centred culture. Staff were skilled and knowledgeable about the people they supported and knew them well. Staff had regular supervision and were well supported by the registered manager.

Staff understood their responsibilities to identify and report concerns relating to abuse of vulnerable people. The provider had polices and procedures in place to ensure outside agencies were notified of concerns. Staff were trained in the management of medicines and people received their medicines as prescribed.

Care plans detailed people's needs and emphasised the importance of promoting independence. Risks to people were assessed and plans in place to manage the risks. People were supported to enjoy activities both in the service and in the community.

Staff had a clear understanding of the Mental Capacity Act (MCA) and how it impacted on their work. People were involved in decisions about their care.

People knew how to raise concerns and were confident action would be taken in a timely manner to resolve issues.

There were effective quality assurance systems in place to monitor and improve the service.