Chandos Road

Updated 28 October 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

The inspection was conducted by two inspectors.

Service and Service Type

Chandos Road is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Chandos Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection the manager was going through the process of becoming the registered manager.

Notice of inspection

The provider was given 18 hours’ notice of the inspection as the service provides support to people who are often out during the day and we needed to be sure people would be in during the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included their action plan from the last inspection and notifications of significant events. We also received feedback from the local authority. 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 seven staff including the operations manager, manager, deputy manager and four care staff. We observed care and treatment of people in communal areas. We reviewed six people’s care records including risk assessments and four staff files in relation to recruitment. We also reviewed a range of management records including quality audits, medicines, complaints and staff support. After the inspection visit, we spoke with six relatives. The manager and deputy manager sent us documentation we asked for and clarified any queries we had.

Updated 28 October 2022

About the service

Chandos Road is a care home for people with acquired brain injuries. At the time of our inspection there were six people using the service who received personal care. The home is a terraced house in a residential area. The accommodation comprises of a communal lounge, kitchen diner, downstairs toilet, shower room, bathroom and seven bedrooms. There is a garden area to the rear of the property.

People's experience of using this service and what we found. People were safeguarded from the risk of harm and abuse. Staff were recruited safely. People were protected from the risks associated from the spread of

infection. Medicines were managed safely. People had risk assessments to protect them from the risks they might face.

People's needs were assessed before they moved to the service. The service worked together with healthcare professionals to ensure people's needs could be met. People were supported with nutrition and hydration. Staff were supported with training and supervision.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems were in place that supported this practice.

Staff demonstrated they knew people well and understood the way people wanted to be cared for. Staff obtained people's consent before delivering care. People and relatives were able to express their views about the care that was provided. People's privacy, dignity and independence were promoted. Staff understood how to provide personalised care. Care records were personalised and contained information about people's preferred method of communication. People and relatives knew how to complain, and the provider had a system to record concerns.

Relatives and staff spoke positively about the management of the service. Staff and management understood their roles and responsibilities. The provider had a system to obtain feedback from people and to audit the quality of the service in order to make improvements.

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 23 February 2021).

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 regulations.

Why we inspected

The inspection was prompted in part due to concerns received about a provider level concerns raised by the local authority in relation to the care and support people received. A decision was made for us to inspect and examine those risks. We also followed up on the action we told the provider to take at the last inspection.

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.

The overall rating for the service has changed from required improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chandos Road 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.