Chorleywood Beaumont

Updated 11 June 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector, a specialist nurse advisor 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: Chorleywood Beaumont 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.

Chorleywood Beaumont accommodates up to 55 older people, across three separate units, each of which has separate adapted facilities. One of the units specialises in providing care to people living with dementia.

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 was an unannounced inspection.

What we did:

Before the inspection we reviewed the Provider Information Return completed by the provider. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We looked at the previous inspection reports and any notifications received by the Care Quality Commission. A notification is information about important events, which the provider is required to tell us about by law.

We spoke with the registered manager the deputy manager and a divisional clinical lead nurse from the provider. We spoke with two nurses, one senior care staff, three care staff, the head chef and a visiting professional. We looked at six people’s care plans and the associated risk assessments and guidance. We looked at a range of other records including three staff recruitment files, the staff induction records, training and supervision schedules, staff rotas and quality assurance surveys.

During our inspection we spent time with the people using the service. We spoke with 10 people and five relatives. We observed how people were supported and the activities they were engaged in. Some people were unable to tell us about their experiences of care. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 11 June 2019

About the service: Chorleywood Beaumont is a nursing home that was providing personal and nursing care to 49 people aged 65 and over at the time of the inspection. There is a specialist unit called ‘memory lane’ which provides care to people living with dementia. Some people were living with complex healthcare needs.

People’s experience of using this service:

Staff knew how to recognise and respond to abuse.

Potential risks to people had been identified and recorded and there was clear guidance in place to help manage the risks.

Regular checks were carried out on the environment and equipment to ensure it was safe and fit for use. The service was clean and there were systems and processes in place to prevent the spread of infection.

There was enough staff to keep people safe. Staff were checked to ensure they were safe to work with people, before they started working at the service.

Medicines were managed safely.

People and their relatives said that staff were kind and caring. Staff knew people well and their likes and dislikes. People were treated with dignity and respect. People received compassionate support at the end of their lives.

People were encouraged to be as independent as possible. Staff encouraged people to do as much as they could for themselves.

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.

Detailed assessments were completed before people moved into the service. People's care plans were updated regularly when their needs changed. People took part in a variety of activities within the service.

Staff told us they felt supported by the registered manager and received the regular supervision and appropriate training to complete their roles effectively.

People told us that they thought the registered manager was approachable and people knew how to complain if necessary.

The registered manager, senior staff and representatives of the provider carried out regular checks and audits to ensure people received consistent, high quality care. There were regular meetings of staff, people and their relatives to gather their views.

Rating at last inspection: At the last inspection the service was rated Good. (Report published 7 July 2016)

Why we inspected: This was a planned inspection based on the previous rating of the service.

Follow up:

We will continue to monitor the service and will re-inspect in line with our return schedule.

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