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Chadwell House Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 6 November 2018

Chadwell House Residential Care Home 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. The home is registered to provide accommodation for persons who require nursing or personal care for 60 older people. Some people were living with the experience of dementia and the service also supported people at the end of their lives. At the time of the inspection there were 58 people using the service.

At the last inspection in February 2016 the service was rated Good. At this inspection we found the service remained Good.

There was a registered manager in place. 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 registered manager had various policies, procedures and practices in place, which made people feel safe. Staff had attended various training such as adult safeguarding and knew what to do if they had concerns about people's wellbeing.

The staff recruitment process ensured new staff were appropriately checked, had the necessary skills and experience, and were safe to support people who used the service. The registered manager kept the staffing level under review to ensure there were enough skilled staff to meet people's needs.

People received their medicines safely, as prescribed by their doctors. Care staff worked with local services to make sure people's health care needs were met in the service.

There were systems in place to ensure people were protected from the spread of infections.

Staff had regular supervision, training in key areas and felt supported by their line managers and the registered manager.

The service provided varied and nutritious meals that reflected people's medical, cultural and religious preferences.

People benefitted from a variety of activities in and outside the service.

The registered manager worked well with local organisations such as the health and social care services to make sure people received care and support that met their needs.

Staff sought people's consent before providing care and support. The registered manager understood their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were not deprived of their liberty unlawfully.

People and their relatives told us staff were kind, caring and treated them with respect. Staff told us they enjoyed working at the service and we observed they showed a caring attitude to people.

Each person had a care plan which was based on their assessed needs and provided guidance for staff on how to support them. The care plans were reviewed to ensure any changes to people's needs were identified and staff responded to them.

Staff ensured people's privacy whilst promoting their independence when supporting them with personal care.

Staff had good relationships with people and their relatives. They knew the needs of each person they supported.

The registered manager and staff supported people at the end of their life to have a comfortable, dignified and pain-free death.

The registered manager recorded, investigated and responded to any complaints they received. People enjoyed a range of activities.

People, their relatives and staff told us they felt the service was well-managed. Survey questionnaires were used to encourage people, their relatives and staff to give feedback about the quality of the service. There were various auditing systems in place to monitor the quality of various aspects of the service and to make improvements.

Inspection areas

Safe

Good

Updated 6 November 2018

The service remains Good.

Effective

Good

Updated 6 November 2018

The service remains Good.

Caring

Good

Updated 6 November 2018

The service remains Good.

Responsive

Good

Updated 6 November 2018

The service remains Good.

Well-led

Good

Updated 6 November 2018

The service remains Good.