Archived: Churchview

Updated 24 June 2021

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 Care Act 2014.

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 carried out by one inspector.

Service and service type

Churchview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 Care Quality Commission. 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 announced. We gave the service short notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed all the information we had received about the service since the last inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection-

We met with all four people who lived at the home. Some people were not able to fully express their views verbally, so we spent time talking with the two staff on duty and observing practices in communal areas.

The registered manager and area manager were available throughout the inspection. They were able to tell us about how the governance of the home had changed and show examples of audits carried out.

We viewed a sample of records which included two care and support plans and health and safety records.

After the inspection

We asked for a number of records to be sent to us electronically. This included copies of audits and action plans including the providers overall action plan.

Updated 24 June 2021

About the service

Churchview is a residential care home registered to provide personal care to up to six people. The home specialises in providing care to adults who have a learning disability. At the time of the inspection there were four people living at the home.

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

People lived in a home where improvements had been made to the management of the service. People could now be confident that there were systems in place to identify shortfalls and plan ongoing improvements.

The building was not suitable to meet everyone’s needs. To ensure people's needs now, and in the future, could be met the provider was in the process of purchasing a new home which would be better suited to people’s needs. Once the new home had been refurbished people would move into it.

People were cared for by staff who received the training and support they required to meet people’s needs. Staff felt valued and supported which led to a happy environment for people to live in.

People were cared for by staff who treated them as individuals and included them in conversations. People looked very relaxed with staff who supported them.

Staff were practicing good infection prevention and control practices to keep people safe.

Staff worked in partnership with other professionals and organisations to make sure people’s physical and social needs were met. Staff supported people to attend healthcare appointments outside the home.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• People lived in a house in a residential area with community facilities close by. A new single storey building had been purchased for people to move into. This would help to further promote people’s independence.

Right care:

• People were supported by a staff team and registered manager who treated everyone as an individual and supported them to make choices about their day to day lives. The staff worked in partnership with other professionals to meet people’s needs.

Right culture:

• The management of the home were committed to on-going improvements to ensure everyone received high quality person-centred 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 requires improvement (report published 3 June 2019.) There was one breach of regulation. The provider did not have effective systems in place to monitor the quality of the service people received, manage risks or plan and implement ongoing improvements. This was a breach of regulation 17. 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

We carried out an unannounced comprehensive inspection of this service on 7 May 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions - Effective and Well-led which contain areas for improvement and a breach of regulation.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Churchview on our website at www.cqc.org.uk.

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.

Follow up

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