This inspection took place on 12 July 2017 and was announced. This was the first inspection of Protheroe House since it was registered by the Care Quality Commission.

Protheroe House is an "extra care" housing provision operated by One Housing Group Limited in Tottenham, North London. The service consists of flats where people have their own tenancy plus communal facilities including a dining area with bar, garden, hair salon, café, facility to store and charge mobility scooters and cinema room. The Care Quality Commission regulates the personal care service provided by One Housing Group Ltd. The service is for people over the age of 55 but younger adults would be considered.

On the day of our inspection there were 28 people living at Protheroe House and receiving a personal care service.

The service had a manager who was in the process of being registered by the Commission. 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 previous registered manager had left but the new manager had applied for registration and there was a general manager who was based full time at the service too.

The service had ten flats which were used for reablement purposes. People who were recovering from illness or injury could stay for six weeks and have support with personal care, plus other services based in the building such as occupational therapy and physiotherapy. Where a person was not able to return to living independently they could choose to move in permanently and two people had recently done so.

People were able to receive a flexible service ranging from a visit once a day to four times a day. One person had a live in carer 24 hours a day and daily calls from Protheroe House staff to support them with specific tasks. Some people received support for all aspects of daily living.

People told us they were happy with the quality of service they received.

Staff were based on site and were able to offer a flexible service if people wanted to get up later than usual but people were not always able to choose the time they received their care and support. We made a recommendation that care planning includes preferred times for care.

People were generally happy with the way they were supported with their medicines but we made a recommendation to ensure medicines practice meets national guidelines at all times as the medicines records needed to be improved and three people said they received their medicines late at times.

Staff received appropriate training with the exception of training in the Mental Capacity Act, as well as supervision and support to carry out their roles effectively.

People received good support with their dietary needs and maintaining their health. There was a range of activities available for people to take part in and an activity coordinator was able to support people with individual activities.

People benefited from the facilities provided including a bar, cinema, room, hair salon and cafe which were also open to the public and accessible gardens.

The provider monitored the quality of the service and staff said they felt supported by the management team.