This announced inspection took place on 17 February 2016. At our last inspection visit in June 2013, the provider was meeting the regulations we looked at. Deighton Court is an extra care housing provision for people aged 55 years and over. It provides community support and personal care to people in their own homes living within the service.

There was a registered manager in post at the time of our inspection. 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 with staff when staff were in their homes providing care. Staff knew how to recognise the signs of potential abuse and of the systems used to report any issues. People’s individual risks had been identified and assessments had been completed to ensure people received safe care. People received calls from staff they knew, visits from staff were on time and for the full length of time agreed. The provider had systems in place to ensure people received their calls when staff were on leave or off sick. People were supported with their medicines where needed by staff who had received training.

People received care and support from staff who knew them well. Staff were provided with training and information to support people’s care and health needs. The provider had safe recruitment processes in place to reduce the risk of unsuitable staff being employed.

Staff understood the need to gain people’s consent to care before providing any support or assistance. Staff knew how to support people’s choices. People told us staff were kind and caring and said that they received care from a consistent staff group which ensured a continuity of care. People said they were supported by staff to maintain their independence and their dignity and privacy was always respected by staff.

People said they received care that met their needs and felt fully involved in developing their care plan. People said any issues were responded to quickly by the provider. People were happy that their care needs were met by staff who knew them well. People knew how to raise issues with the provider and were confident any concerns would be addressed.

People and staff were positive about the service and said the service was well managed. The provider listened to people’s views and feedback to continually improve the service. Regular checks were completed to review and monitor the quality of the care that people received; this included observing staff practice and reviewing records.

Deighton Court is an Extra Care Housing provision for people aged 55 years and over.

On the day of the inspection, we found staff were onsite and available 24 hours a day. As an extra care housing provision, Deighton Court 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 in order to check the care and welfare of people using this service.

We involve people in our inspections that have experience of social care services; we call them experts by experience. An expert by experience joined us for this inspection and we spoke to five staff members, 16 people who used the service and one family member.

We looked at two care plans and saw that people had been given the opportunity to discuss and give signed consent to the care delivery prior to it taking place. All of the people we spoke with were complimentary about the staff and care provided at Deighton Court. One person said, “Staff talk to me about how I am feeling, I’m asked if everything is ok. They look after me lovely”.

Where people were supported with medication we saw that staff completed records appropriately.

Systems were in place to review the quality of the service they provided. This included a satisfaction survey which people living at Deighton Court and family members had been invited to complete.

Deighton 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. Deighton Court was registered to deliver personal care to people.

During our visit we spoke with ten people who lived at, or were visiting the court, six staff members, and the manager. Through a process called 'pathway tracking' we looked at care plans, spoke with people about the care they received and asked staff about how they provided support. This helped us establish that people were getting appropriate care that met their needs and supported their rights.

The service had systems in place to ensure that staff understood their responsibilities in safeguarding (protecting vulnerable adults) and reported concerns appropriately.

Systems were in place to ensure people’s medication was managed and recorded appropriately.

We spoke to staff and looked at the training and support available. Staff told us they were supported and had the opportunity to meet with the manager regularly. The manager had identified gaps in staff training and was addressing the issue.

During the inspection we looked at the process the service had in place to monitor the quality of the service provided. We found systems were in place for auditing and monitoring the service.

We carried out this review to check on the care and welfare of people using this service.

We spoke to three people who live and receive personal care from Deignton Court staff, and five relatives. People told us that they were generally happy with the care they received. One relative told us that although the regular staff were very good, agency staff were not always aware of their relatives needs. 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. One person said, "We are happy with what care we have".

People told us that they had an agreed number of visits. Relatives we spoke to all 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.