Background to this inspection
Updated
14 October 2022
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 carried out by two inspectors, a specialist professional advisor who had a background in nursing.
Service and service type
Churchfield Care Centre 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. Churchfield Care Centre 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 23 August 2022 and ended on 06 September 2022. We visited the service on 23 August 2022.
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, professionals who work with the service and 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. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We observed interactions between people and staff, as most people were unable to communicate with us. We spoke with nine members of staff including the manager, clinical lead, cook, housekeeper, nursing and care staff. We spoke with a healthcare professional who worked with the service. We reviewed a range of records including care plans, medication records, audits and training data. We also looked at the services policies and procedures.
Updated
14 October 2022
About the service
Churchfield Care Centre is a care home providing personal and nursing care to people aged 65 and over. The service is registered to support up to 60 people. At the time of the inspection only one of two buildings was being used, where 16 people were supported over two floors.
People’s experience of using this service and what we found
The service was undergoing improvements; however, we found there to be ineffective auditing and checks in place to ensure people’s safety, particularly around equipment.
People who were at risk of falls and a breakdown of skin integrity did not always have these managed appropriately. People with specific health conditions such as diabetes did not always have these monitored in line with best practice.
People were supported with their medicines safely, however there were issues with the documentation relating to medicines. Staff understood their duty to safeguard people from the risk of abuse. Safe staffing levels meant people were not left waiting for support.
People were supported to access appropriate healthcare. People were helped with their eating and drinking needs by staff who understood their individual requirements.
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 treated well and respectfully by caring and kind staff. People were encouraged to be involved in their care and were given opportunities to feedback. People had plans of care that guided staff on how to care for them in a personalised way.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 September 2020, and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on 14 May 2020.
Why we inspected
This was a planned inspection based on the date of registration.
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.
Enforcement
We have identified a breach in relation to effective auditing, delegation of duties and checks on equipment and the environment.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.