You are here

Inspection Summary


Overall summary & rating

Outstanding

Updated 5 December 2018

This comprehensive inspection took place on 17 and 18 September 2018. The first day was unannounced.

Canford Chase is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Canford Chase accommodates up to 55 older people in purpose-built premises. Nursing care is provided. There were 46 people living or staying there when we inspected.

The registered manager had been in post for several years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was committed to excellence in end of life care, working closely with health professionals so that when the time came people had a comfortable, dignified and pain-free death. Staff were particularly skilled and confident in caring for people who were dying and their loved ones. The service collaborated with a local hospice for staff development and to obtain specialist advice on symptom control when needed.

There was a vibrant activity programme based on people’s hobbies, interests and wishes and tailored to their individual needs. There were regular trips out for those who wished and were well enough. The service had established links with the local community and continued to develop these.

There was a strong emphasis on the importance of eating and drinking well. Positive relationships with staff encouraged people to eat and drink, particularly those who might be reluctant. Waiters and waitresses were employed to ensure that people who spent most of their time in their room had the same service as people who came to the dining room. The chef met people regularly to obtain their feedback and gather up-to-date information about dietary needs and preferences. The chef also spoke regularly with clinical staff to review people’s weights and individual nutritional needs. The provider had produced a comprehensive nutrition resource folder for care and catering staff.

People were supported to live healthily and obtain the care and support they needed from other health professionals. Where people had complex health needs, staff sought to optimise care by identifying and implementing best practice. Staff ‘champions’ actively supported colleagues to make sure people experienced the best possible health and wellbeing in view of their conditions.

The service worked in partnership with other organisations to keep up to date with new research and make sure staff were trained to follow best practice. Care was planned and delivered in line with current good practice and standards. Standards of nursing care were very high. People and where appropriate their families were meaningfully involved in planning care. Their choices were reflected in detailed, comprehensive care plans and staff understood their needs and preferences well.

People were protected against abuse and avoidable harm. Staff understood their responsibility to report concerns about abuse and knew how to do so. Medicines were stored and managed safely. We have made a recommendation about the scope of medicines audits.

Risks to people were regularly assessed and they were helped to stay safe in the least restrictive way possible. The premises and equipment were in good condition and there was regular maintenance. The building smelt pleasant throughout. Effective processes were in place to control and prevent infection.

There were sufficient skilled and competent staff on duty to provide the care people needed. Appropriate recruitment checks were made before staff started working at the service, such as criminal records checks and taking up references fro

Inspection areas

Safe

Good

Updated 5 December 2018

The service was safe.

People were protected from abuse and avoidable harm.

Risk assessments were person-centred and reviewed regularly. Risks were managed so that people felt safe but had as much freedom as possible.

There were enough staff on duty to provide the care people needed without being rushed.

Effective

Outstanding

Updated 5 December 2018

The service was very effective.

There were champions within the service who actively supported staff to optimise people�s health and wellbeing, within the constraints of their health conditions.

There was a strong emphasis on the importance of eating and drinking well. Positive staff relationships were used to encourage people who were reluctant or had difficulty eating and drinking.

The service worked in partnership with other organisations to keep up to date with new research and make sure staff were trained to follow best practice.

Care was planned and delivered in line with current good practice and standards. Standards of nursing care were very high.

Caring

Good

Updated 5 December 2018

The service was caring.

Staff treated people with kindness and respect.

People�s privacy and dignity were upheld.

Staff got to know people well.

Responsive

Outstanding

Updated 5 December 2018

The service was very responsive.

People and where appropriate their loved ones were meaningfully involved in decisions about their care. Care was tailored to people�s individual needs and preferences. There was a vibrant group and individual activity programme, which met people�s individual needs and fostered community links.

The service worked closely with healthcare professionals and provided outstanding end of life care.

People were confident that if they raised a concern it would be taken seriously and dealt with properly.

Well-led

Good

Updated 5 December 2018

The service was well led.

We received consistently positive feedback about the way the service was run.

The service had a person-centred, open and inclusive culture.

The registered manager and provider strove to improve further the quality of the service, through learning from accidents and incidents and complaints, and listening to people who used the service, their loved ones and staff.