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Chorleywood Beaumont DCA Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 June 2019

About the service: Chorleywood Beaumont DCA is a domiciliary care agency which provides personal care to people living in their own flats in the grounds of Chorleywood Beaumont Nursing Home. At the time of the inspection six people were receiving support.

Not everyone using Chorleywood Beaumont DCA receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided

People’s experience of using this service:

Medicines were not managed safely. There was a lack of oversight of medicines management, and we could not be assured that people were receiving their medicines as prescribed.

There was a lack of oversight by both the provider and registered manager. The divisional clinical lead nurse from the provider was present at the inspection and told us that because the service was not providing nursing care, there were no audits of people’s medicines routinely completed by the provider.

People told us they sometimes had to wait to receive support. The registered manager had not looked into why people sometimes had to wait. We have made a recommendation regarding monitoring the time people had to wait to receive support.

The registered manager told us that accidents and incidents which occurred when staff were not present were not routinely recorded. There was a risk that trends and patterns may not be identified, and ways of reducing the chances of them happening again may not be implemented. We have made a recommendation regarding the monitoring of accidents and incidents.

Some of the issues regarding analysis of accidents and incidents and separating out records relating to the DCA and the nursing home also managed by the registered manager had been identified, although not yet addressed.

The registered manager did not routinely audit and check people’s daily notes, and a recent compliance audit by the provider had failed to identify the issues we found regarding people’s medicines.

People told us that they had built up strong relationships with staff and were treated with respect and dignity.

People were supported to eat meals and attend activities run by the nursing home, on the same site as their flats.

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.

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.

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: Please see the ‘action we have told the provider to take’ section towards the end of the report. We will ask the provider to send us an action plan regarding how they are going to improve and continue to monitor the service.

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

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Inspection areas

Safe

Requires improvement

Updated 11 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 11 June 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 11 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 11 June 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 11 June 2019

The service was not always well-led

Details are in our Well-Led findings below.