Background to this inspection
Updated
15 June 2022
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. We checked 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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Chacombe Park 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
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with twelve people who use the service, fourteen of their relatives and fifteen staff including the registered manager, deputy manager, administrative staff, quality assurance manager and care staff. We used the 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. We reviewed six people’s care records, four staff recruitment files, staff training records, multiple medicine records and other documents related to the running of the home.
After the inspection
We continued to speak with the registered manager about visiting arrangements for the home and discuss a complaint investigation.
Updated
15 June 2022
About the service
Chacombe Park is a care home. They are registered to provide accommodation, nursing and personal care for up to 77 people. At the time of the inspection there were 77 people living there.
People’s experience of using this service and what we found
The provider’s policy for visiting arrangements in the home was not always in line with government guidance. However, the registered manager had used innovative ways to ensure regular meaningful visits still happened during the pandemic. After our inspection, the provider changed their policy to ensure it was in line with government guidance.
People were supported by staff who understood what actions to take to keep people safe. Staff had received training around safeguarding and understood how to recognise and escalate safeguarding concerns. Staff
were safely recruited and systems had been developed to determine safe staffing levels.
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.
People were supported by staff who had the right skills and knowledge to meet their needs. Staff were responsive to changes in people's needs and liaised with healthcare professionals to support people's health and well-being.
People were supported to receive meals of their choosing and to access the healthcare they needed.
People were supported with care that was kind and caring. Staff knew the people living at the home and what was important to them. People were treated with dignity and respect and were encouraged to retain their independence.
People received care that was responsive to their needs. People had access to activities based on their interests and felt an integrated part of their local community. There were systems in place that enabled concerns or complaints to be raised and responded to.
People received a service that was well-led. There were a number of effective monitoring systems in place that measured the quality and safety of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 12 January 2018).
Why we inspected
The inspection was prompted in part due to concerns received about visiting arrangements and whistleblowing concerns in relation to the management of the service. A decision was made for us to inspect and examine those risks.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.