We carried out a review of the data available to us about The Chiltern Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Chiltern Centre, you can give feedback on this service.
The Chiltern Centre is a respite and day service run by The Chiltern Centre Limited. It is registered to provide accommodation and personal care for up to four adults at any one time with a range of needs including, physical and learning disabilities. People could have support from a few hours a day or for longer periods. At the time of the inspection there were two people using the service for varying periods of time with 26 people registered for respite support.
People’s experience of using this service and what we found
People were protected by staff who knew how to report concerns relating to harm and abuse. There were sufficient staff to meet people's needs. Medicines were managed safely. People were supported in line with their care plans which meant risks to people were effectively managed and reviewed on a regular basis.
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.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were involved in decisions about their care and supported to make choices about their day to day living. The culture of the service promoted independence, choices and empowerment for the people living in the service. Staff had a good understanding of how people communicated their needs and wishes and respected people's likes and dislikes. People's care was focused around their needs and staff supported people to engage in activities in the service and outside in the community.
People experienced person centred care from staff who were compassionate and knew people’s needs. The service involved people and treated them with compassion, kindness, dignity and respect.
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.
The registered manager had a clear understanding of their responsibilities and a good overview of the service. Regular auditing took place to inform where improvements may be required.
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 08/07/2019 and this is the first inspection.
Why we inspected
This was a planned inspection as this new service had been registered since 2019.
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.
We looked at care plans that contained information on medical needs, personal care, risk assessments and monitoring records of care delivered by staff. Regular reviews of the care plans were recorded to ensure the information was accurate.
We saw a safeguarding policy which included definitions of abuse and staff responsibilities relating to safeguarding. All staff who worked on the provider's outreach service had attended safeguarding training within the last year.
We looked at staff training records which evidenced staff had received essential training for the outreach care service they provided.
We spoke with two members of staff who explained they ensured the care they delivered was appropriate by speaking with relatives and reading care plans.
A care plan we looked at contained information on medical needs, personal care, risk assessments and monitoring records of care delivered by staff. Regular reviews of the care plan were recorded to ensure the information was accurate.
We saw a safeguarding policy which included definitions of abuse and staff responsibilities relating to the safeguarding of children. All staff who worked on the provider's outreach service had attended safeguarding training within the last year.
We looked at staff training records and saw staff had received essential training for the outreach care service they provided.
A parent of someone who used the service told us care staff kept a daily record of care.