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Inspection Summary

Overall summary & rating


Updated 22 March 2019

About the service: Chapel House is a 'care home' supporting people that have experienced an acquired brain injury. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Chapel House consists of a residential care home supporting up to 18 people. They were supporting 14 people at the time of our inspection. They also support people living in their own home within the community through their domiciliary care service. There were eight people receiving support at the time of our inspection.

People’s experience of using this service:

People received safe and effective care from kind and caring staff. People had been fully involved in the assessment and planning of their care prior to being supported by the service and throughout the first 12 weeks. Care plans were comprehensive and regularly reviewed to ensure the most up-to-date information was available for staff. Staff had a good understanding of people’s individual needs and had developed positive relationships with them.

Safe recruitment procedures were followed and people were supported by staff that were trained and supported. Staff and the management team worked closely with health and social care professionals to ensure people were supported.

Risks to people had been identified and clear guidance was in place to ensure staff could mitigate these risks. People were included in the development and review of their risk assessments.

An infection control policy and procedure was in place to minimise the risk of infection being spread. Staff had all undergone training and had access to personal protective equipment (PPE).

Staff supported people with activities of their choice. People had access to education and volunteering placements. People spoke positively about the activities they participated in. The provider had organised and invited people who use the service to social events to help prevent social isolation.

Medication was managed safely by trained and competent staff. Staff had access to a selection of medication policies and best practice guidance.

People are protected from the risk of abuse by staff that had received safeguarding training and knew how to report any concerns they had. There was an up-to-date safeguarding policy available for staff to refer to.

People’s privacy and dignity was respected and their independence was promoted. People spoke positively about the staff that supported them. People told us their views were regularly sought regarding their care, activities and suggestions for changes.

The registered provider complied with the principles the Mental Capacity Act (MCA) 2005. Staff understood and respected people’s right to make their own decisions where possible, and encouraged people to make decisions about the care they received. Mental capacity assessments and best interest decisions were completed in line with the MCA.

Rating at last inspection: Good (Report published April 2016).

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

Follow up: We will continue to monitor all intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas



Updated 22 March 2019

The service was safe

Details are in our Safe findings below.



Updated 22 March 2019

The service was effective

Details are in our Effective findings below.



Updated 22 March 2019

The service was caring

Details are in our Caring findings below.



Updated 22 March 2019

The service was responsive

Details are in our Responsive findings below.



Updated 22 March 2019

The service was well-led

Details are in our Well-Led findings below.