You are here

Chiltern House - Care Home Physical Disabilities Good

Inspection Summary


Overall summary & rating

Good

Updated 15 January 2019

Chiltern House Care Home is a residential care home for up to 22 people with physical disabilities catered for. The service is split into three wings over one floor.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained good.

Why the service is rated Good.

There were safe systems in place to monitor people’s medicines. We observed a member of staff administering medicines to people and the correct procedure was followed. People received their medicines as the prescriber intended. Risk assessments were assessed and managed. These included procedures to follow in the event of an emergency.

Staff completed induction training and shadowed experienced staff before working alone. Staff received supervision to monitor their work. We observed the supervision matrix which confirmed this. People were offered a choice of menu which included a vegetarian option. 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.

People were treated with dignity and respect. We saw staff knocking on people’s doors and waiting for a response before entering. People told us they could come and go as they wished. Care plans were individualised and detailed people’s preferences on how they wanted to be supported.

People received care that was responsive and effective and tailored to their needs. People had detailed care plans in place which included a health plan and risk assessment. A complaints procedure was available for people and their relatives. People told us they would speak to the manager or staff in the first instance. People were able to join in activities and plan trips for the month ahead. We saw people engaged in activities and were preparing for Christmas events.

The service followed their infection control policy and procedure. We saw the premises were visibly clean and free from odours. The service used an outside cleaning company to ensure the environment was clean and a cleaning scheduled was in place.

People were provided with a well led service. The organisations values and philosophy were explained to staff and there was a positive culture where people were included.

Audits completed ensured the services policies and procedures were followed. The service had processes in place to ensure there was a clear audit trail of any actions required following completion of audits. The service worked closely with other healthcare professionals who offered advice support and training. Regular meetings were held which gave clear instructions on any areas of concern. The service notified us of any reportable occurrences which were followed with actions to be taken. The service met all relevant fundamental standards.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 15 January 2019

The service remains Good

Effective

Good

Updated 15 January 2019

The service remains Good.

Caring

Good

Updated 15 January 2019

The service remains Good.

Responsive

Good

Updated 15 January 2019

The service remains Good.

Well-led

Good

Updated 15 January 2019

The service remains Good.