31 October 2022
During an inspection looking at part of the service
Chrissian Residential Home is a residential care home providing personal care to up to 22 people. The service provides support mostly to older people, some living with dementia. The service is provided in one adapted building over two floors. At the time of our inspection there were 22 people using the service.
People’s experience of using this service and what we found
We found concerns at our last inspection and rated the home requires improvement in two key questions and overall. We also found breaches of the Health and Social Act 2008 (Regulated Activities) Regulations 2014.
At this inspection we found that the provider had taken action to mitigate the risks to the health, safety and welfare of people living in the home. We were encouraged by the progress made and the provider was no longer in breach of the regulations. Improvements had been made and were ongoing to ensure the premises and equipment were maintained in a safe, comfortable and clean condition.
A new registered manager had been appointed and they worked closely with the provider. Both were visible in the home and effective governance systems to monitor and assess the quality and safety of the home were evident. This provided the oversight needed to drive improvement and support the continual development of the home.
People told us they felt safe and we observed they were comfortable and at ease in the company of the staff that cared for them. There were enough staff, safely recruited with the knowledge and skills to meet people’s needs and morale was good.
Risks to people were regularly monitored and assessed with appropriate management plans in place to mitigate. This included timely referrals to healthcare services. Processes were in place to learn lessons when things had gone wrong with actions taken to reduce future incidents happening.
Staff had received appropriate training to protect people from harm and followed the provider’s safeguarding policies and processes. Safe management of medicines was in place and the home was clean and hygienic with good infection control procedures carried out.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 1 July 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chrissian Residential Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.