George Davis Lodge 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. People using the service lived in individual flats within George Davis Lodge. Not everyone living at the complex receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. 27 people were using the service when we visited.

At our last inspection on 22 December 2014, we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the home is run.

People continued to receive safe care. Risks were identified and action taken to minimise risk and to support people as safely as possible. Systems were in place to ensure medicines were administered safely and when needed. There were enough staff on duty to support people.

People were supported by experienced staff who received training and support to enable them to continue to provide an effective service. The staff team worked closely with other professionals to ensure that people remained as healthy as possible and received the healthcare they needed.

People continued to be supported by kind, caring staff who treated them with respect. Their privacy and dignity were maintained.

People continued to receive individualised care and support that was responsive to their needs. They were encouraged to make choices about their daily lives and to continue to do things they enjoyed.

Management systems ensured the service continued to be well led and that people were involved in decisions about their care and about what happened in the service. People told us that any complaints or concerns were dealt with by the registered manager.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Further information is in the detailed findings below.

This inspection took place on 22 December 2014 and was announced.

At our last inspection on 24 October 2013 we found the provider was meeting all the standards reviewed.

Redbridge Care is registered as a domiciliary care agency and is part of community services provided by the London Borough of Redbridge. They provide an extra care service to people who are tenants at George Davis Lodge, which is one of the borough's sheltered housing units. The service offers individuals personal care, support and 'extra care' they require to continue to live independently.

There is 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 who used the service were protected from the risk of abuse because the provider had taken steps to identify the possibility of abuse and prevent abuse from happening.

We observed members of staff interacting with people using the service in a courteous, polite and efficient manner.

Appropriate arrangements were in place in relation to the obtaining, recording and administration of medicines.

The provider had taken steps to provide care in an environment that was adequately maintained. We found that the service was clean and appropriately furnished.

People who used the service were protected against the risk of unlawful excessive control or restraint because the provider had made suitable arrangements. Training and support was in place for all staff to do their job effectively. Staff were also able to identify any training that they felt would improve the delivery of care they provided.

Management actively sought feedback as to the quality of service provided and acted upon the information where appropriate.

Information relating to people’s life history, likes and dislikes were clearly documented. We found there were clear and comprehensive guidelines for staff to follow, to ensure people’s needs were met.

People told us they were treated with dignity and that they were able to make choices about their care. One person said "they ask me if I want shower or a wash, that kind of thing." We observed that staff interacted with people in a polite and friendly manner. People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People told us they were satisfied with the care and support provided and that staff knew how to meet their needs. One person said "they are all good at their job." We found that care plans and risk assessments were in place, although some care plans had not being reviewed within the past year.

We found the service had a complaints procedure in place and that people knew who they could complain to. One person said "I would tell one of the managers." The service had various quality assurance systems in place, some of which included seeking the views of people who used the service. Appropriate records were maintained by the home to ensure that people received safe care and treatment and maintained people’s confidentiality.

Everyone we spoke to made positive comments about the care and support they received. They told us that the care workers treated them with respect and their dignity was protected. One person said "they respect me and and do listen to me. They are all very nice and caring."

People told us that they received the care that they needed. A relative commented " I have no worries about her care, she is always clean and showered." "It is a good service they care for people's well being, know their likes and work hard to meet them."

People told us they felt safe when the care workers visited them and if they had concerns they would speak with a family member, friend or somebody from the office. They told us that care workers knew how to help them and were kind. People said they were asked for their views about their care and treatment and their feedback was listened to and acted upon.

We found that people were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.