Church View

Updated 4 February 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

This inspection was completed by one inspector.

Service and service type

Church View is a 'care home'. People in care homes receive accommodation and nursing or personal care as 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 CQC. 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 the inspection

We looked at all the information we had received from and about the home since the last inspection. We sought feedback from professionals who commission the service on behalf of people. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with five people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager and members of the care and support team. We reviewed a range of records. This included five people's care records. We looked at a staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 4 February 2020

About the service

Church View is a residential care home that provides accommodation and personal care support for up to 25 adults with a primary diagnosis of mental health and/or mild learning disabilities. At the time of our inspection there were 23 people living at Church View.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with mental health, learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

Systems were in place to safeguard people from abuse. People told us they felt safe. Safe recruitment practices were followed. Staff were suitably trained and supported to enable them to meet people's needs. Medicines were given safely to people by trained and knowledgeable staff, who had been assessed as competent. Infection control was well managed and the home was maintained and free from hazards.

People’s needs were assessed before they moved into service to ensure the home would be able to meet their needs. Staff received regular training, supervision and appraisal to develop their skills and knowledge. People were supported to eat and drink enough to maintain their health and wellbeing. 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 complimentary about staff and living at the home. People we spoke with told us staff were caring and supportive. People appeared relaxed and comfortable in each others company and that of staff. We observed positive staff interactions during the inspection. People's independence, privacy and dignity was promoted, and their views and opinions were regularly requested. People were treated with dignity and compassion. Independence was promoted as much as possible. People were encouraged express their views and be fully involved in their care and support.

Each person had a care and support plan which detailed people’s choices and preferences. The plans were regularly updated and reviewed to ensure staff had accurate and clear guidance about how to support people. People were encouraged follow their interests, and take part in social activities. People knew how to make a complaint and were confident their concerns would be dealt with effectively. Where appropriate, people's end of life wishes were recorded.

The management team demonstrated an open and transparent management style and were fully engaged with people and staff at the service. The registered manager had a visible presence within the home and operated an open-door policy. Effective governance systems were in place, ensuring people received consistent care.

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 20 July 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.