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Church View Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 12 February 2020

About the service

Church View is a care home providing personal and nursing care to 36 older people at the time of the inspection. The service can support up to 43 people.

People’s experience of using this service and what we found

The service ensured arrangements for social activities met people’s individual needs and followed best practice guidance, so people could live as full a life as possible. The provider used a pool activity level (PAL) instrument to providing activity-based care for people with cognitive impairments, including dementia. The service had explored to find out what people had done in the past and evaluated whether it could accommodate activities.

The management team and staff ensured people received personalised care which had positive impact on their lives. Visiting professionals told us the service was focused on providing person-centred care and support and achieved excellent results. For example, one person had improved, and they were going home to live independently. Staff knew people well and quickly identified people’s changing needs.

The service worked closely with healthcare professionals and provided good end of life care. People experienced a comfortable, dignified and pain-free death. We saw feedback from relatives following end of life care was positive. There was a rapid response to people’s changing care needs and advice on care and support for people and staff at the times they needed. The home had established close links with a local hospice. Staff had the specific skills to understand and meet the needs of people and their families in relation to emotional support and the practical assistance they need at the end of the person’s life. Records showed staff had attended end of life care training. Staff told us they were supported by the management team with empathy and understanding.

People living at Church View told us they received safe care from skilled and knowledgeable staff. Staff knew how to identify and report any concerns. The provider had safe recruitment and selection processes in place.

Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely, and people received their medicines as prescribed.

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. People were supported to maintain good health and to meet their nutritional needs.

People told us staff were caring. This ethos consistency enabled people to receive good care from staff who knew them well. Staff did all they could to promote independency and we saw examples of such practices.

The home was well-led by a registered manager who was focusing on improving people’s care and developing staff skills. A lot of significant changes had been implemented to support effective team working and improve people’s outcomes. The service had a clear management and staffing structure in place and staff worked well as a team. The provider had quality assurance systems in place to monitor the quality and safety of the service.

Rating at last inspection and update

The last rating for this service was requires improvement (published 15 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 12 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 12 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 12 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 12 February 2020

The service was well-led.

Details are in our well-Led findings below.