About the service:

• The service is an extra care service. This service provides care and support to people living in one ‘extra care’ scheme, so that they can live as independently as possible. The scheme had 50 flats and 29 people were using the service at the time of our inspection.

• The service supports older people who require assistance with personal care.

People’s experience of using this service:

• People received a good standard of care, although medicines management required improvement.

• The service met the characteristics for a rating of “good” in all the key questions besides 'safe' which we rated "requires improvement" due to medicines management processes which were not in line with best practice.

• People liked the staff who supported them and their care met their needs. People were involved in their care and were supported to maintain their independence so they could continue to live at London Care (Toldene) as long as possible.

• People received care from staff who were well supported with induction, training and ongoing supervision.

• The service had a clear hierarchy with competent leadership and management. People and staff had confidence in the manager. The manager and staff understood their roles and responsibilities.

Our overall rating for the service after this inspection was “good”.

• More information is in our full report.

Rating at last inspection:

• This was our first inspection of the service since it registered with us in May 2018.

Why we inspected:

• All services are inspected within one year of registering with us. This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

• We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for in line with our inspection schedule or in response to concerns.