Chapelfields

Updated 21 December 2023

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 undertaken by 1 inspector and 1 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

Chapelfields 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. Chapelfields is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the 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 sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people living at the service and 3 of their relatives about the service they received. We spoke with 10 members of staff including the registered manager, deputy manager, a nurse, a senior carer, 4 care assistants, the activities coordinator and a domestic assistant. We obtained feedback from 4 visiting professionals. We reviewed 3 staff files in relation to recruitment. We reviewed 4 care plans and 15 people’s medicines records. We reviewed a variety of records relating to the management of the service, including audits, meetings and policies and procedures.

Updated 21 December 2023

About the service

Chapelfields is a residential care home providing personal and nursing care to 51 people at the time of the inspection. The service can support up to 70 people. Chapelfields is a detached, adapted building spread over 2 floors.

People’s experience of using this service and what we found

There were a range of meetings taking place, which included people, their relatives and the staff team. However, the frequency of these meetings was sporadic at times. We made a recommendation about this. People were invited to complete satisfaction surveys on the service they received, and people spoke positively of the registered manager. Quality monitoring was effective and robust, and the service evidenced continuous improvement.

People felt safe and the registered manager ensured people were safeguarded from abuse. Safeguarding referrals were made where appropriate and staff understood how to identify the potential signs and indicators of abuse. Staff understood the concept of whistleblowing and felt confident in raising concerns should they need to.

Medicines were managed safely, and people received their medicines as prescribed. Records relating to medicines were completed accurately, and people’s needs were met. Infection prevention and control was managed well, and risks relating to people and the environment were assessed and monitored.

Staff were recruited to the service safely, and there were enough staff to support people. People and their relatives praised the staff approach which was described as “Very good” and “Fantastic.”

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.

There was a positive culture in the home and the management team and staff understood the importance of effective team work. People and staff spoke positively of the registered manager who was described as “Approachable” and “Empathetic.” Staff told us they felt supported and valued by the management team.

The registered manager understood and evidenced the importance of continuous learning and development, through quality monitoring, audits and effective partnership working. Visiting professionals spoke highly of the positive culture and staff team at 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 November 2018)

Why we inspected

This inspection was prompted by a review of the information we held about this service. We undertook a

focused inspection to review the key questions of Safe and Well-led.

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 remained 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

Chapelfields on our website at www.cqc.org.uk.

Recommendations

We made a recommendation regarding the frequency of meetings at the service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.