The Chiswick Nursing Centre is a residential care home providing personal and nursing care to up to 146 people. The service provides support to older people, people living with dementia and younger people with physical disabilities. At the time of our inspection there were 139 people using the service.
People’s experience of using this service and what we found
People told us they felt safe living in the service and felt well respected by staff. A family member told us, “I’m very pleased with the home, the staff are absolutely lovely.”
The service had delivered an action plan to improve how it managed medicines, and this was now carried out safely. There were suitable processes for managing risks and protecting people from avoidable harm. Staff understood their responsibilities to report suspected abuse and the provider worked with the local authority to safeguard people and investigate reported concerns.
The service ensured there were enough staff on duty to meet people’s needs. People told us staff responded promptly to call bells and there were systems of regular checks to ensure people’s wellbeing. Where incidents had taken place the provider ensured people’s needs were reviewed to prevent a recurrence.
The service had worked with local health agencies to respond to and contain outbreaks. There were suitable infection control measures to protect people from infectious disease which at times exceeded national requirements.
The service was continuously improving and developing, through participating in research and redesigning areas of the building to promote a more stimulating and pleasant environment. Staff told us they felt well supported by their managers and colleagues and described the home as a good place to work. There were good systems of communication and audit to ensure that standards were maintained and areas for development identified.
People’s family members told us the service communicated well with them and kept them updated on their relative’s wellbeing. People felt confident raising concerns or queries with managers and that these were acted on appropriately.
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.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 22 June 2022).
Why we inspected
We carried out an unannounced focussed inspection of this service on 17 March 2022. A breach of legal requirements was found in relation to the safe management of medicines. We issued a warning notice requiring the provider to make improvements.
We undertook this focused inspection to check if the provider had made improvements and if they were now meeting the legal requirements. This report only covers our findings in relation to the key questions Safe and well-led.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating.
At this inspection we found improvements had been made and the provider was now meeting this regulation.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Chiswick Nursing Centre on our website at www.cqc.org.uk.
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.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.