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Chadderton Total Care Unit Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 April 2019

About the service: Chadderton Total Care is a residential care home providing personal and nursing care for up to 146 people. At the time of the inspection 124 people were usig the service. The service provides care for people with a variety of social and nursing needs including physical and learning disability, dementia related disease, and acquired brain injury. The home consists of five units on ground floor level.

People’s experience of using this service: We found improvements were required in key areas including medicines management, staff deployment and treating people with dignity. Internal and provider level audits had picked up on the majority of issues we noted during the inspection, however senior/nursing staff had not always reported issues of concern to the registered manager.

Medicines were not always managed safely. People did not always receive the medicine they were prescribed and the storage conditions had not been recognised as being unsuitable to keep medicines at the correct temperature.

Staff had appropriate skills and knowledge to deliver care. Staff understood where people required support to reduce the risk of avoidable harm.

People told us Chadderton Total Care was safe and staff were kind and treated people well. Staff had built positive caring relationships with people they supported and their families.

All the people we spoke with told us that the registered manager and staff listened to their views, acted to resolve concerns, when needed, and met people's needs.

People's capacity to consent had been assessed in line with legal requirements.

Where people required support at the end of their life, this was carried out respectfully, compassionately and with professionalism.

We have made a recommendation that the provider reviews the deployment of staff on all units to ensure that staff have appropriate oversight to keep people safe.

We have made a recommendation that the provider increases staffing levels on the young disabled person’s unit to ensure that people receive individualised care and that staff are refreshed with the necessary training and supervision to ensure that people are always treated with dignity and respect.

At the last inspection we identified one breach of Health and Social Care Act (Regulated Activities) Regulations 2014 relating to person-centred care. At this inspection we found that the majority of people at Chadderton Total Care received person-centred care and the provider was no longer in breach of this regulation.

At this inspection we identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to medicines management and good governance. You can see what action we told the provider to take at the back of the full version of this report.

More information is in the full report.

Rating at last inspection: Requires improvement (report published February 2018)

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we identified some areas which required improvement.

Enforcement: Full information about CQC's regulatory response to the more serious concerns found in inspections and appeals is added to the reports after any representations and appeals have been concluded.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in accordance with our re-inspection programme. If any concerning information is received we may inspect sooner. Chadderton Total Care will complete an action plan detailing how then plan to meet the breaches of Regulations laid out in this report.

Inspection areas

Safe

Requires improvement

Updated 17 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 17 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 17 April 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Good

Updated 17 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 17 April 2019

The service was not always well-led

Details are in our Well-Led findings below.