Background to this inspection
Updated
4 May 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
This inspection took place on 1 March 2016 and was unannounced.’
The inspection was carried out by two inspectors.
Prior to the inspection we looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us
about by law.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During our inspection we carried out a Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also observed care practices throughout the day.
We spoke with four people who used the service and four visitors and relatives. We looked at six people’s care records, five staff files and other records showing how the home was managed. We spoke with the registered manager, the operations manager, six members of the care team, the chef, and one visiting health care professional.
Updated
4 May 2016
We carried out this inspection on 1 March 2016. The inspection was unannounced.
OSJCT Chilterns End is a care home providing personal care. The service supports older people with a variety of conditions which includes people living with dementia. On the day of our visit there were 39 people using the service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.
People were positive about living at OSJCT Chilterns End and were complimentary about the caring nature of the staff. People and relatives told us the registered manager was approachable and they felt confident to raise concerns with her.
There was a cheerful and relaxed atmosphere in the home. People were engaged in activities both in groups and individually. The activity coordinator was passionate about her role and took time to find out what people had enjoyed doing in the past.
Staff felt supported in their role and had the opportunity to complete national vocational qualifications. Staff were not always knowledgeable about how to support people living with dementia. This had been identified and the registered manager had arranged additional training.
The registered manager and staff understood their responsibilities in relation to The Mental Capacity Act (2005) and supported people in line with the principles of the Act.
People were not always receiving food and drink to meet their needs. Recommendations from health professionals were not always being followed and where people were at risk of weight loss their intake was not being monitored.
Care plans were detailed and identified how to manage risks associated with people's physical care needs. Risks associated with behaviours that may challenge people or others had not been assessed.
People knew how to raise complaints and were happy to do so. People's views about the service were sought and used to make improvements.
There were quality assurance processes in place that had identified some of the issues found during the inspection and the registered manager had an action plan in place to address them. Following the inspection the registered manager sent us an updated action plan detailing how all issues had been addressed.
We found one breach of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the end of
the full version of the report.