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Chevington House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 February 2020

About the service

Chevington House is a residential care home which provides accommodation and personal care for up to 16 older adults and people living with dementia. There were 13 people living at Chevington House on the day of our inspection.

People’s experience of using this service

People were protected from abuse. Staff were knowledgeable about how to recognise and report abuse. Systems were in place to ensure the safety of people being supported. Risks were assessed and managed. The providers approaches toward management of risk had improved. Care plans and risk assessments contained clear information about how to reduce and manage risks.

Medicines were managed appropriately. Improvements had been made to ensure people who needed ‘as needed’ PRN medicines had a clear protocol in place and staff had regular medicines competency observations. Accidents and incidents were recorded, and measures were taken to ensure lessons were learnt. Staffing levels met people's needs. Improvements had been made to ensure staff were recruited safely. Improvements to the environmental safety were made.

People’s needs were assessed, and outcomes were met. People told us their needs were met well. People told us food was good quality, the cook had systems in place to ensure that people ate and drank what they wanted and liked. Staff told us they received training to do their job well and were supported in their roles. People’s consent to care was sought. 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.

Staff were caring thoughtful and attentive. People consistently told us staff were kind and caring and they were treated well. People were given the opportunity to express their views regularly and were involved in their care. Staff were knowledgeable about how to maintain people's privacy and dignity.

People were receiving care that was responsive to their needs. Improvements were made to ensure assessment and care planning captured people’s wishes and care was delivered by staff who understand the needs of the people they were supporting. People knew how to complain and raise concerns and were listened to. People took part in regular activities of their choosing. Staff were enthusiastic and keen for people to try new things.

The registered manager had made several improvements toward risk management, assessment, care planning, medicines and quality audits. The registered manager strived to provide good quality care to people living in the home and had worked hard to make necessary improvements. Staff were complimentary about the support they received from their manager. People told us they knew the manager and that issues were resolved quickly. Feedback from external professionals demonstrated good working relationships had been developed. Staff stated that morale within the team was good and they worked closely together.

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

Rating at last inspection and update

The last rating for this service was Inadequate (Published 24 April 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At this inspection, we found the provider had made the required improvements and was now meeting the regulations. While improvements have been made we have not given an overall rating of 'Good'; to improve the rating to 'Good' would require a longer-term track record of consistent good practice.

This service has been in Special Measures since January 2019. During this inspection the provider demonstrated improvements have been made. The service is no longer ra

Inspection areas

Safe

Requires improvement

Updated 4 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 February 2020

The service was not always well-led.

Details are in our well-led findings below.