Background to this inspection
Updated
4 March 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 24 and 26 November 2015 and was unannounced.
Two inspectors undertook this inspection.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Whilst the provider did return a PIR when requested, it did not include all the information we had requested. A stakeholder contact list had not been provided. We took this into account when we made the judgements in this report.
We also reviewed previous inspection reports and notifications received from the service before the inspection. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing any potential areas of concern.
We observed care to help us understand the experience of people who could not talk with us. We looked at care records for six people, medication administration records (MAR), monitoring records of people’s food and fluid intake and weight. We also looked at five staff files, staff training and supervision records, staff rotas, accident records, audits and minutes of meetings.
During our inspection, we spoke with five people using the service, the manager, the provider, two care staff and the cook. Following the inspection we contacted professionals who had involvement with the service to ask for their views and experiences.
The service was last inspected in April 2014 where there were no concerns identified.
Updated
4 March 2016
The inspection took place on 24 and 26 November 2015 and was unannounced.
Chiltingtons Residential Home is registered to provide care for up to 18 older people. The home is situated in Worthing, West Sussex. At the time of our visit there were 14 people living at the home.
The service had a manager in place. The manager was not registered with the Commission, although her application was in progress. 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. During our inspection we also met with the registered provider.
People were not protected from risks to their safety. Risks within the premises were not managed; action had not been taken following visits by Environmental Health or the Fire Officer.
People were protected from risks to their health and wellbeing and were protected from the risk of abuse. Staff received training to enable them to do their jobs safely and to a good standard. They felt the support received helped them to do their jobs well.
People were treated with respect and their privacy was promoted. Staff were caring and responsive to the needs of the people they supported. Staff sought people's consent before working with them and encouraged and supported their independence and involvement.
People's health and well-being was assessed and measures put in place to ensure people's needs were met in an individualised way. Medicines were managed well and administered safely. People were supported to eat and drink enough.
People benefitted from receiving a service from staff who worked well together as a team. Staff were confident they could take any concerns to the management and would be taken seriously. People were aware of how to raise a concern and told us they would speak to the manager and were confident appropriate action would be taken.
The manager did not receive any supervisions or documented support. The manager did not have an accurate job description. There were no quality assurance systems in place. The service did not effectively monitor and improve its quality and safety.
We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the provider to take at the back of the full version of the report.