26 October 2023
During an inspection looking at part of the service
Church Terrace Nursing Home is a care home providing personal and nursing care to up to 65 people. The home consists of 4 wings, 1 of which is an adapted building separate to the main care home. The service provides support to younger and older adults, some of whom were living with dementia and people with mental health concerns. At the time of our inspection there were 60 people living in the home.
People’s experience of using this service and what we found
Since the last inspection, improvements were found to the overall care and support people received. However, further improvements were identified regarding quality monitoring of equipment, such as mattresses and time was needed to monitor the success of the newly implemented quality monitoring systems.
People and relatives spoke positively about the service they received. Staff knew how to keep people safe and protect them from harm. Risks associated with people’s care and the environment were identified and assessed. People received their medicines safely, when needed, by staff trained in medicine management. Staff were recruited safely.
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.
Staff told us they felt supported by the registered manager and attended regular meetings. Relatives told us they felt included in the service and felt confident to raise concerns.
The provider and staff worked in partnership with other health and social care agencies to deliver good outcomes for people and ensure their needs were met and reviewed. A visiting professional told us the provider followed their recommendations and communicated effectively.
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 6 June 2023) and there were breaches of regulation.
At this inspection we found the provider had made significant improvements and was no longer in breach of the regulations found in the previous inspection. However, there were still improvements to be made and time was needed to establish the newly implemented systems.
Why we inspected
We carried out an unannounced focused inspection of this service on 6 June 2023, during this inspection we followed up on the breaches of the previous inspection. However, at the time of our visit, the deadline we set for the provider to be compliant with regulations had not yet passed. Therefore, breaches of legal requirements continued to be in place. The provider had failed to ensure the safe care and treatment of people, to support people to consent to their care and ensure good governance of the service. These failings breached regulation and we issued 3 warning notices.
We undertook this focused inspection to check the provider had made improvements and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe, Effective 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 Church Terrace 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.