• Care Home
  • Care home

The Churchley Rest Home Limited

Overall: Requires improvement read more about inspection ratings

91 New Church Road, Hove, East Sussex, BN3 4BB (01273) 725185

Provided and run by:
The Churchley Rest Home Limited

Latest inspection summary

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Background to this inspection

Updated 21 December 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. 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 Care Act 2014.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection, we reviewed the information we held about the service. This included information from other agencies and statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and two relatives We spent time observing the care and support people received. We spoke with the registered manager, the deputy manager and two care staff. We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

Overall inspection

Requires improvement

Updated 21 December 2019

About the service

The Churchley Rest Home provides accommodation and personal care for up to 18 older people with a variety of care and support needs, in one adapted building. Some people are living with dementia. At the time of the inspection, the home was full.

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

People were involved in all aspects of the home and their views were listened to. However, one person told us they did not want to continue to live at the home and wished to return to their own home. They had been assessed as having capacity to make this decision, but staff were reluctant to allow the person to leave as they felt they would be unsafe living on their own. People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their bests interests; the policies and systems in the service did not support this practice.

People felt safe living at the home and their risks were identified, assessed and managed well. One person said, “I feel very safe and I like it here”. Staff had been trained in safeguarding and knew how to protect people from harm. Staffing levels were sufficient to meet people’s needs and new staff were recruited safely. Overall, medicines were managed safely, although the audit concerning medicines was not completely effective, as two medicines which should have been disposed of were still in the refrigerator. This is an area in need of improvement.

People and their relatives felt the home was well-managed and care was of a high standard. Referring to the registered manager, one person said, “She does a good job. She doesn’t interfere a lot, but she’s got her eye on things”. Feedback from people was encouraged. Staff felt supported by the management team and enjoyed working at the home. Audits had not identified the areas of concern found at this inspection.

The home was clean and smelled fresh. Staff used disposable aprons and gloves to prevent the risk of infection.

Before people came to live at the home, their care and support needs were identified and assessed. People’s needs were continually reviewed and monitored. Staff completed a range of training that enabled them to support people effectively; staff had regular supervisions.

People enjoyed the food on offer and had a choice of menu. One person said, “There’s one main meal. Staff quickly get used to what you don’t like and they provide you with something else”. People had access to a range of healthcare professionals and services.

People told us they were well treated by kind, compassionate and caring staff. One person said, “Staff are very nice, they really are. I haven’t come across one who wasn’t”. A relative told us, “Staff know people well. They know when people don’t feel so good and they give them more attention”. Staff encouraged people with their independence. One person said, “Staff help you with anything you do have difficulty with”. People were treated with dignity and respect and encouraged to be involved in decisions relating to their care.

Care was personalised and people’s likes, dislikes and preferences were recorded and catered for. A range of activities was planned and people were supported to participate in activities of interest to them. People enjoyed the activities on offer. One person said, “There’s singing and exercises. People come and entertain us. There’s musicians. They play us tunes and we have a sing-song; it’s fun. It’s enough to keep you from being bored”.

People’s communication needs were met. Families and friends were encouraged to visit people at the home. If people or their relatives had any complaints, these were listened to and acted upon.

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

Rating at the last inspection

The rating at the last inspection was Good (published 22 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the Safe and Effective sections of this report. You can see what action we have asked the provider to take at the end of this full report.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

Follow-up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.