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. There were 43 people receiving personal care when we inspected. At the last inspection, in February 2015, the service was rated Good overall. At this inspection we found that the service remained Good overall.

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 and associated Regulations about how the service is run.

People were safe when staff were in their home providing care and received care from staff that protected them from the risk of potential abuse. Staff told us about how they kept people safe when providing care and support. People's individual risks had been recorded and reviewed. Staff told us they looked at the plans in place to understand how to keep each person safe to ensure people were at low risk of harm or injury. People who had support with their medicines had them administered when needed, with staff who were trained and competent to do so.

Staff received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care and support needs. Staff understood the need to gain people's consent to care and treatment before providing any care or assistance. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People told us they attended healthcare appointments as required and staff would help with telephone calls and reminders if needed.

People knew the staff well and told us they had a personalised service in their home. People felt the care they had received met their needs and had been able to tell staff how they wanted their care on each call. People felt the staff were considerate and supported them in maintaining their dignity.

People’s views and decisions about their care had been recorded and were changed when needed. People knew how to make a complaint and information was provided to people who used the service should they wish to raise a complaint.

People were always able to talk with the management team about any concerns if needed. Staff were able to speak with the registered manager and provide feedback on the service. The registered manager told us they kept their knowledge current and provided staff with input and direction about the levels of care they expected. Regular checks were completed to monitor the quality of the care that people received, that included reviewing records and observing staff practices.

We undertook an announced inspection of Henry Court on 5 February 2015. We told the provider before our visit that we would be coming. This was so people could give consent for us to visit them in their flats to talk with them.

Henry Court provides housing with care. People live in their own home and have a tenancy agreement with Anchor Trust. Staff provided personal care and support at pre-arranged times and in emergencies to people. The unit consists of 40 flats, at the time of our visit there were 38 people using the service.

The service did not have a registered manager. 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 provider had recently made changes to the management of the service. An interim manager had been appointed who was in the process of applying to register with us.

People who used the service said they felt safe living at Henry Court. Staff knew what they should do if they had any concerns about people’s safety or if they suspected abuse. There were processes in place to protect people from the risk of harm. These included a procedure to manage risks associated with people’s care and an effective procedure for managing people’s medication.

There were enough suitably trained staff to meet people’s individual care and to provide a flexible, responsive service. Staff gained people’s consent before they provided personal care and supported people to maintain their independence.

People were happy with the care they received and said staff provided care and support in the way they preferred. People said staff were kind and considerate and maintained their privacy and dignity when providing care. Staff had good knowledge about the people they supported and provided a personalised service.

People were involved in making decisions about their care and support and care plans detailed how people wished to receive their care. People said they were listened to and were confident they could raise any concerns about their care or support. There were processes in place for people to express their views and opinions about the service.

Staff felt supported by the manager and senior staff and told us they would feel confident to raise any concerns or issues. There were processes in place to assess and monitor the quality of service provided. This was through feedback from people who used the service, staff meetings and a programme of checks and audits.

Henry Court provides housing with care. People live in their own flats and staff provide support at pre- arranged times. We visited the service on Wednesday 15 May 2013. There were 28 people using the service on the day of our visit. During our visit we spoke with five people who used the service, the team leader who was in charge of the shift, the scheme manager, two members of care staff and a visiting health professional.

We found that people had given their consent to the care and treatment to be provided. People we spoke with said they were happy with the care they received. All the people we spoke with said the carers were friendly and polite. One person said, “I’ve been here for five years and know all the staff very well, they are all lovely”

Staff knew how to keep people safe and said they would have no hesitation reporting concerns or poor practice to the manager. We found people received their care around the time they expected to. People we spoke with said they felt safe using the service and that care staff were knowledgeable and competent. The medication procedure was robust and people received their medication as prescribed.

We found Henry Court was well organised. There were systems in place to monitor the care provided and for managing identified risks. The records we looked at showed the care people received was regularly reviewed.

People said they were asked for their views about their care and treatment. We were told, “Staff always ask me if I’m happy with everything. We also have meetings and I had a recent questionnaire that I sent back. I really like it here they look after me very well”.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

Henry Court provides a ‘housing with care’ scheme. The care people receive is regulated by the Care Quality Commission, but the accommodation is not.

34 people living at Henry Court were receiving a personal care service at the time of our inspection visit. We spoke with three people using the service at Henry Court. We also spoke with the registered manager and two care staff.

We looked at care records and some records relating to the day to day running of the service, such as staff daily task sheets.

All the people we spoke with said staff were polite and treated them with respect. People told us they got the care they needed.

One person told us how staff promoted their independence. They said, “I have improved since I moved in here. The staff encouraged me to do the things I could do for myself. I like being able to do what I can.”

People told us they felt safe living at Henry Court. Records showed that staff received training and supervision to make sure people using the service got effective and appropriate care.

We saw evidence that satisfactory pre-employment checks were made before staff started working with people who used the service.