This service provides care 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 agreements; this inspection looked at their personal care arrangements.

At the last inspection on 30 November 2015, the service was rated good. However, we asked the provider to make improvements in relation to the implementation of the Mental Capacity Act 2005 (MCA). The provider sent us an action plan detailing how and when the required improvements would be made by.

At this inspection we found the service remained good. There were 27 people receiving the service. We found staff knowledge about the MCA had improved. People’s rights to make decisions about their care were respected. Where people did not have the mental capacity to make decisions, they had been supported in the decision making process.

However, we found that although quality assurance systems were in place to help drive improvements in the quality of care that people were provided with, these were not always effective. In addition, the provider and registered manager had not always notified the CQC about events that they were legally required to notify about. Further, although the registered manager had displayed the service’s previous CQC rating, this was not in the specified format.

The service had a registered manager in place. 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 told us they felt safe receiving the service. Systems were in place to identify and reduce the risks to people using the service. Staff supported people to receive their prescribed medicines.

People told us there were enough competent staff to provide them with support when they needed it. Staff were only employed after the provider had carried out comprehensive and satisfactory pre-employment checks. Staff had received appropriate training, support and development to carry out their role effectively.

People received appropriate support to maintain healthy nutrition and hydration.

People told us and we observed that they were treated with kindness by staff who respected their privacy and upheld their dignity.

Staff supported people to maintain relationships. People received personalised care that met their individual needs. Staff promoted social inclusion and supported people to join in with events at the scheme.

People told us they knew how to complain and were confident they would be listened to if they wished to make a complaint.

People were given the opportunity to feed back on the service and their views were acted on.

Further information is in the detailed findings in the full version of the report.

Radis Community Care (Somers Court) is registered to provide personal care to people living in their own homes. During this inspection personal care was provided to approximately 25 people, all of whom lived within Somers Court. Part of the service’s contract included the provision of all people’s meals from a central kitchen.

The service had a registered manager in place. 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.

This announced inspection was carried out on 30 November 2015. It was the first inspection of this service since it registered on 26 August 2014.

Staff were only employed after the provider carried out satisfactory pre-employment checks. Staff were trained and well supported by their managers. There were sufficient staff to meet people’s assessed needs. Systems were in place to ensure people’s safety was effectively managed. Staff were aware of the procedures for reporting concerns and of how to protect people from harm.

People’s health, care and nutritional needs were effectively met. People were provided with a balanced diet and staff were aware of people’s dietary needs. People received their prescribed medicines appropriately and medicines were stored in a safe way.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. People’s decisions were respected by staff. However, processes were not in place to protect people who did not have the mental capacity to make decisions from unlawful restriction and unlawful decision making.

People received care and support from staff who were friendly, helpful and respectful. People were encouraged to provide feedback on the service in various ways both formally and informally. People were involved in their care assessments and reviews. Care records provided staff with sufficient guidance to provide consistent care to each person. Changes to people’s care was kept under review to ensure the change was effective.

People, relatives and staff told us the service was well run. People told us that the registered manager, was approachable and that their views were listened to and acted on.

We found a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.