Background to this inspection
Updated
23 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Churchill House is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was carried out on 25 April 2019 and was unannounced.
What we did before the inspection:
Before the inspection, we reviewed relevant information that we had about the service including any notifications of safeguarding or incidents affecting the safety and wellbeing of people. A notification is information about important events, which the provider is required to tell us about by law. We also checked the last inspection report and requested feedback from social care professionals.
The service completed a Provider Information Return (PIR). A PIR is a form that asks the provider to give some key information about the service, what it does well and any improvements they plan to make.
During the inspection:
We spoke with the registered manager, the provider, a senior support worker, two support staff and four people using the service.
We looked at the care records of five people, the management of medicines,
staff training records, audits, premises safety checks, complaint records and accident and incident records.
After the inspection:
We spoke with two relatives by telephone to obtain their views of the service.
Updated
23 May 2019
About the service:
Churchill House is a residential care home providing accommodation and personal care to 12 people with mental health needs, aged 18 and over at the time of the inspection. The home can support a maximum of 12 people. The care home accommodates people in two separate wings, with six people in each wing, which have separate adapted facilities.
People’s experience of using this service:
People were safe in the home and there were procedures to protect them from abuse. Risks associated with people’s needs were assessed.
The premises and environment were safe for people and well maintained. We made a recommendation for the provider to look into installing window restrictors as an additional safety mechanism and to prevent unauthorised access to the home.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were provided their medicines as prescribed. People were supported with their nutritional needs and had choices with meals. They had access to health care professionals, such as GPs when required. They received care and support from staff who were kind and compassionate.
Staff treated people with dignity and respected their privacy.
Staff were recruited safely and were supported with training and supervisions for their development. Staff maintained positive relationships with the people they supported. They understood people’s needs, preferences and what was important to them. People’s independence was promoted.
Care plans were person centred and detailed people’s support needs. People's end of life wishes were explored. People and relatives were supported with complaints they wished to make. They were able to provide their feedback about the home.
Staff felt supported by the management team and told us there was a positive culture within the home.
The registered manager carried out audits and checks to ensure the home was providing a good standard of care. They were committed to make continual improvements and there was a clear management structure in place.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
At the last inspection on 30 August 2016 (report published 26 October 2016), the service was rated ‘Good’.
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.