The Chantry

Updated 28 June 2023

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 completed by one inspector.

Service and service type

The Chantry 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. The Chantry is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. However, they were currently absent from the service due to personal reasons. The service was being managed by the deputy manager with support from the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

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 and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 5 members of staff, which included the deputy manager and nominated individual.

We 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.

We reviewed a range of records. We looked at a variety of records relating to the care and support provided. This included 3 care files and 3 staff files in relation to recruitment, and various audits/reports relating to the quality and safety of the service. We requested a variety of records were sent to us relating to staff training and regards the management of the service.

We sought feedback from relatives and health and social care professionals to obtain their views of the service provided to people. We received feedback from 1 relative, and 3 health and social care professionals. We continued to seek clarification from the provider to validate evidence found.

Updated 28 June 2023

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

About the service

The Chantry is a residential care home providing accommodation and personal care to up to 16 adults with learning disabilities. At the time of our inspection there were 9 people using the service.

People’s experience of using this service and what we found

Right support: Model of care and setting maximises people’s choice, control and Independence;

People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. People were not able to comment on their safety. However, their body language while interacting with staff was relaxed and positive, which indicated they felt safe. A relative commented, “The management team have been very supportive, will always reach out to me if we need to discuss any issues. I have no concerns whatsoever.”

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 lived safely and free from unwarranted restrictions because the service assessed, monitored and managed safety well. There were comprehensive risk assessments in place covering all aspects of the service and support provided.

Medicines were managed as necessary. Infection control measures were in place. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.

The number and skills of staff matched the needs of people using the service. There were effective staff recruitment and selection processes in place.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights;

Staff relationships with people were caring and supportive. Staff provided care that was kind and compassionate. A person commented, “I love it here, the staff are lovely and look after me.” A relative commented, “[Person’s name] has been at The Chantry for a number of years now and is extremely happy there. [Person’s name] is in the right place, is loved and his personal level of care is first class.”

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive, and empowered lives;

Staff put people’s needs and wishes at the heart of everything they did. The provider’s action/improvement plan identified that an area of work was to explore new activities to increase people’s access to meaningful occupations. Two health professionals we spoke with as part of the inspection agreed to contact the service and share best practice ideas and suggestions to support this action to increase person-centred care and support.

The service worked hard to instil a culture of care in which staff truly valued and promoted people’s individuality, protected their rights and enabled them to develop and flourish.

Staff felt respected, supported, and valued by the management team which supported a positive and improvement-driven culture.

Systems were in place to monitor the quality and safety of the service. Our inspection found that these systems needed to be reorganised to ensure they remained effective. As a result, following our inspection the management team contacted the Quality Assurance and Improvement Team (QAIT). Local authority QAIT support services to implement robust systems and processes to ensure people receive appropriate person-centred care and support. A QAIT visit was scheduled for 13 July 2023.

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

Rating at last inspection

The last rating for this service was Good (published 5 March 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service and length of time since the last inspection. 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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Chantry on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.