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Inspection Summary


Overall summary & rating

Good

Updated 3 March 2016

Chaseley is a residential nursing home in Eastbourne, providing care for people with severe physical disabilities. Chaseley also provides long and short term respite care. There is an on-site gym with designated therapy staff providing support to people in their rooms and in the gym environment as appropriate. The gym is accessible for use by people in the community who may require specialist equipment for rehabilitation and daily fitness as well as people living at Chaseley.

Chaseley is registered to provide care for 55 people. At the time of the inspection there were 40 people living at the home, including one person staying at Chaseley for a period of respite care.

At the last inspection 18 and 19 November 2014 we asked the provider to make improvements for notifications after incidents occurred, training for staff around Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS), confidentiality of records and assessing and monitoring the quality of service provision. The provider sent us an action plan stating these issues would be addressed. At this inspection we found that actions had been taken to ensure all regulations had been met.

This was an unannounced inspection which took place on the 22 and 25 January 2016.

Chaseley had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The manager was in day to day charge of the home, supported by the deputy and human resources business partner. People and staff spoke highly of the manager and told us that they felt supported by them and knew that there was always someone available to support them when needed. Staff told us that the manager and deputy made a good team and had made a number of positive changes.

Staff felt that training provided was effective. Registered Nurses had received further training to ensure they were able to meet specific nursing needs for people. Care staff felt they received effective training and this ensured they were able to provide the best care for people. Competencies checks and workshops took place to ensure staff training was relevant and up to date. Robust recruitment checks were completed before staff began work, and staff completed a full induction when they commenced employment at Chaseley. There a programme of supervision and appraisals for staff, this meant that staff felt continually supported.

Medicine administration, documentation and policies were in place. These followed best practice guidelines to ensure people received their medicines safely. Regular auditing and checks were carried out to ensure high standards were maintained. People were supported to self-medicate if deemed safe for them to do so and this was regularly reviewed.

There were robust systems in place to assess the quality of the service. Maintenance checks had been completed. Fire evacuation plans and personal evacuation procedure information was in place in event of an emergency evacuation.

Peoples nursing and care dependency levels were assessed and reviewed to ensure appropriate care provision was in place. Staffing levels were reviewed regularly.

Care plans and risk assessments had been completed to ensure people received appropriate care. Care plans identified all nursing and care needs and had been reviewed regularly to ensure information was up to date and relevant. Staff had a good understanding around the principles of MCA and DoLS. People were asked for their consent before care was provided and had their privacy and dignity respected. Feedback was gained from people this included questionnaires and regular meetings with minutes available for people to access.

People were encouraged to remain as independent as possible and supported to participate in daily activities. Regular therapy was provided when appropriate and people had access to the on-site gym.

Staff demonstrated a clear understanding on how to recognise and report abuse. Staff treated people with respect and dignity and involved people and their families in decisions.

People’s nutritional needs were monitored and reviewed. People had a choice of meals provided and staff knew people’s likes and dislikes. People gave positive feedback about the food and visitors told us they had eaten with their relative and found the food to be of a very high standard.

Referrals were made appropriately to outside agencies when required. For example GP and hospital referrals, dentists and speech and language therapists (SALT).

Notifications had been completed to inform CQC and other outside organisations when events occurred.

Inspection areas

Safe

Good

Updated 3 March 2016

The service was safe.

Staff had a good understanding about how to recognise and report safeguarding concerns.

Medicines policies and procedures were in place to ensure people received their medicines safely.

Environmental and individual risks were identified and managed to help ensure people remained safe.

Systems were in place to report and respond to accidents and incidents when they occurred.

Staffing levels were regularly reviewed and maintained.

Effective

Good

Updated 3 March 2016

The service was effective.

All staff received effective training to ensure they had the knowledge and skills to meet peoples nursing and care needs.

Staff felt supported and received regular supervision.

Management and staff had a good understanding of mental capacity assessments (MCA) and Deprivation of Liberty Safeguards (DoLS)

People were supported to have access to healthcare services and maintain good health.

Meal choices were provided and people were encouraged to maintain a balanced diet. People’s weights were monitored when required.

Caring

Good

Updated 3 March 2016

The service was caring.

People were involved in decisions and given appropriate nursing care and support.

Information and records were kept securely and confidentially.

Staff knew people well and displayed kindness and compassion when providing care.

Responsive

Good

Updated 3 March 2016

The service was responsive.

Systems were in place to assess and review care regularly. Documentation was personalised, up to date and included specific information about people’s nursing and care needs.

Care plans and risk assessments were regularly reviewed and updated.

People’s choices and the involvement of relatives and significant others was clearly included in care files.

A daily programme of activities was available. People were encouraged to spend time doing things they enjoyed.

A complaints procedure was in place and the Chaseley statement of purpose was displayed around the building.

Well-led

Good

Updated 3 March 2016

Chaseley was well led.

There was a registered manager in place who was supported by a deputy manager and administration team.

Staff gave positive feedback about the registered and deputy manager and the changes made to improve services.

There was a robust system in place to continually assess and monitor the quality of service provided. Audit information was used to continually improve and develop the service.

A complaints procedure was in place and displayed around the building.