Archived: Churchview

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.

People’s experience of using this service:

The service had been opened some years ago and registered to a different provider. It had not been developed and designed in line with the principles and values that underpin Registering the Right Support, and other best practice guidance. However, the staff were working with the provider to embed these principles into people’s day to day lives. The principles include; promotion of choice and control, independence and inclusion. e.g. People’s support focussed on them having as many opportunities as possible to gain new skills and become more independent.

People received care and support which met their needs because staff knew them well. However, care and support plans were not always based on full assessments of individual needs and were not always up dated to reflect changes. This placed people at risk of receiving care which did not meet their up to date needs and wishes.

People did not live in a home where there was a clear management structure or quality assurance systems to monitor the standard of care people received. People were not always fully involved in planning changes. However, the staff were working with the manager to enable people to have more influence in the running of the home. This included holding regular meeting to seek people’s views.

People had their communication needs assessed and recorded but information was not always available in a format which meet their needs. This included information about how to make a complaint, minutes of meetings and food options.

People felt safe at the home and with the staff who supported them. People happily laughed and chatted with staff and were very relaxed and comfortable in their environment. Staff were kind and friendly.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People told us they were able to make choices about their day to day lives and risk assessments were in place to promote independence.

People were involved in day services activities which gave them an opportunity to spend time with people outside the home. Staff supported people with social activities, helped them to plan celebrations and to keep in touch with friends and family.

Rating at last inspection: This is the first inspection since the service was registered to this provider in May 2018.

Why we inspected: This was a scheduled/planned inspection based on date of registration.

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

For more details, please see the full report which is on the CQC website at www.cqc.org.uk