Chandlers Ford Care Home

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed a total of 1 quality statements from this key question. We have combined the scores for these areas with scores based on the rating from the last inspection, which was good. Our rating for this key question has remained the same. People were supported to have access to healthcare professionals where this was required, and the provider used nationally recognised tools to support them to identify and managed risks to people. Where we identified some aspects of wound care recordings needed to be improved, the provider told us this was being addressed through their new care planning system and staff training.

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 Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

People felt reassured that there were nurses on-site if they needed anything. Most people said they were able to see professionals when needed such as social workers and opticians. The GP operated a weekly round at the home and relatives told us they were kept informed of appointments. For example, one relative said, "The GP visits and if [loved one] has a [change in need] the nurse will call in the GP and phone me as well.”. Pre-admission assessments were carried out before people moved to the service. One person’s relative said, “In the first week here, staff asked about [name’s] interests and family and preferences.”

Staff we spoke with told us people's specific needs were documented in care plans and they knew how to access the information they needed to support people. For example, where people had modified diets one staff member said, "The texture of [people's] food is decided by the SALT team. Their dietary needs will be specific and noted in their care plans. We discussed wound planning documentation with the manager who advised us they were working with the nurses to improve wound care documentation through a series of clinical meetings which were happening on a weekly basis. They said, “We have clinical meetings every Tuesday. This is a new thing that I implemented. We ask new nurses about topics they feel comfortable with, so one person might do a session on Parkinson's for example. We discuss all wounds. Then the minutes get sent round to the management team.” One nurse told us, “There are weekly clinical meetings with nurses. We're taking it in turns to do a training session. We all debate and ask questions.”

The provider was not always following best practice for wound management care plans. Wound care plans were in place. However, the quality of these were inconsistent. For example, some photographs had named and dated measurement tools in the pictures, but not all did. Not all photographs had the name of the person documented against the photo. We discussed this with the manager who advised us they were working with the nurses to improve wound care documentation through a series of clinical meetings which were happening on a weekly basis. Specialist advice and support was sought when required. The leaders of the service told us they had a good relationship with the local GP surgery and a GP visited the service weekly, with additional support given when required. Records showed this happened. Nurses told us and records showed people were referred for specialist support including, speech and language (SALT) for support for people with swallowing difficulties, the dietician, and the tissue viability nurse. The service also had a good relationship with the local hospice. The provider had implemented nationally recognised assessment tools to support them to identify and monitor people's clinical needs. This included best practice malnutrition risk assessment tools and skin integrity tools. People had their weight monitored. Some people were having their food and fluid intake monitored. Records we looked at showed people received enough to eat and drink. When people refused a drink for example, records showed staff returned and tried again later. These records were overseen by nurses and by the manager.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.