Background to this inspection
Updated
4 November 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This unannounced comprehensive inspection was completed by one inspector and an expert by experience on 25 September 2017. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
The provider completed a Provider Information Return [PIR]. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We also reviewed other information that we held about the service such as notifications, which are events which happened in the service that the provider is required to tell us about, and information that had been sent to us by other agencies. This included the local authority who commissioned services from the provider.
We spoke with ten people who used the service, two relatives, four members of care staff, the cook, an external health care professional, the deputy manager, the registered manager and the provider. We looked at two people’s care records, 15 medicine administration records and two staff files. We also looked at records relating to the management of the service that included completed provider feedback forms and quality monitoring checks. Some people were unable to tell us their views of the service so we used a Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
4 November 2017
Churchfield Court provides accommodation and personal care to a maximum of 37 people who People had a range of conditions relating to old age. At the time of our inspection 33 people lived at the home.
At our last inspection, in October 2015, the service was rated good. At this inspection, the rating remained good.
The manager was registered with us as is required by law and was present on the day. 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.
Staff delivered safe care to people and supported people to take their medicines safely and as they had been prescribed. Staff had received training in how to protect people from abuse and harm. Risks to people’s safety and well-being were assessed and instruction was available for staff to follow to prevent people being at risk of accidents and injury. Staffing levels met people’s needs and kept them safe.
People received effective support from staff who knew how to meet their individual needs and wishes. People were supported to have choices in their daily lives. Staff ensured that people were supported in the least restrictive ways. People were offered food and drink they enjoyed and had access to appropriate healthcare services.
People received support in a kind and caring manner. People were encouraged and enabled to be involved as much as possible in making decisions about how their support needs were met. Visitors were made to feel welcome and people were enabled to have contact with their family.
People and their relatives were involved in the assessment and review of their needs. People were offered activity sessions they enjoyed. Arrangements were in place to obtain the views of people and their relatives. A complaints procedure was available for people and their relatives to use if they had the need.
The service was well-led. Checks and monitoring of the quality of the service were undertaken regularly to ensure that the service was run in the best interests of the people who lived there. People and staff confirmed the registered manager and provider led the service well. The registered manager was visible within the service and had a good insight of people’s needs.