OSJCT Chilterns Court Care Centre

Updated 15 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by two inspectors; a specialist advisor whose specialism was nursing and two Experts by Experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

OSJCT Chilterns Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home accommodates up to 63 people in three units. One unit specialises in providing care and support for people living with dementia. Another unit supports people who require nursing care and includes people discharged from hospital for rehabilitation.

What we did:

Prior to the inspection we looked at information we held about the service. This included previous inspection reports and statutory notifications. Notifications are specific events the provider must notify CQC about by law. We also asked the provider to complete a Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection we looked at 11 people’s care records. We looked at four staff files and other records relating to the management of the service.

We spoke with 16 people, five relatives and two visitors. We spoke with the registered manager, the area operations manager, the head of care, the clinical lead, one nurse, four members of the care team, the chef and the two activity coordinators. We also spoke with two visiting health professionals.

We observed care practice and used the 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.

Updated 15 May 2019

About the service: OSJCT Chilterns Court is a care home that was providing personal and nursing care for 59 people aged 65 and over with a range of conditions.

People’s experience of using this service:

• People received person-centred care that valued them as unique individuals and protected their rights. People were supported by staff who showed kindness and compassion. Positive relationships had developed between people and staff which created a relaxed, friendly atmosphere in the service.

• The service was led by an effective and caring registered manager. The registered manager had made improvements to the service which had resulted in high quality care delivered by a positive and committed staff team.

• There were effective systems in place to protect people from harm and abuse. Where risks were identified these were assessed. There were plans in place to guide staff in how to support people to manage the risks.

• People were supported in a responsive way that recognised changes in people’s condition in a timely manner. Action was taken to ensure people’s needs were met.

• Staff were extremely positive about the support they received. Staff felt valued and listened to and were supported to access development opportunities to continually improve their skills and knowledge.

• There were effective systems in place to monitor and improve the service. People and relatives had opportunities to feedback about the service and this was used to develop improvement plans.

• 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.

Rating at last inspection: Rated Requires Improvement. Report published 3 May 2019. Service has improved its overall rating to Good.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Good.

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