OSJCT Chilterns Court Care Centre

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

There was an effective risk management process in place. Following an assessment of people’s needs, risks were identified. Risk assessments were in place and provided staff with detailed guidance. Risks identified included hydration, diabetes, falls and tissue viability. Records confirmed risk assessments were regularly reviewed and updated,

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us they had confidence in the registered manager and felt the service was well-led. All staff we spoke with told us they felt supported. Their comments included, “The manager is lovely, very approachable”, “I am very fond of the management, very supportive. They listen to us”, “The manager often works on the floor to support us, very supportive and it reassures us” and “In most ways I’d say I am supported by management. I have access to people who will support me.”

There was a clear management structure within the home that meant staff knew their roles and responsibilities. Effective systems to monitor the service were in place and a range of audits were conducted to allow the registered manager to improve the service. Records confirmed a range of meetings were held with people, their relatives and staff which allowed the registered manager to be informed of opinions and issues. Action plans had been created to address any issues. The registered manager notified the Care Quality Commission of reportable events in a timely manner.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff spoke with us about the learning culture at the service. They said, “Communications are good, in fact very good. Regular meetings and briefings keep us up to date and I think we learn from mistakes, accidents and incidents”, “We have meetings where we can reflect on incidents and mistakes. We learn” and “Communication is pretty good here. We discuss things as a team and find solutions. It is a positive learning culture.” The operations manager said, “We foster a learning culture here. We hold reflective meetings to understand where things went wrong and how to learn from those mistakes. I believe we learn and improve through this process.”

Records confirmed learning from accidents, incidents and audits was used to improve the service. Reflective meetings were held with staff and used to analyse events and provide learning. We saw staff had access to further learning to attain specialist skills, qualifications and personal development.