Churchview Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The registered manager told us, “We get a range of referrals, mostly from hospital or home, often for people with high complex needs. We always have face to face assessments for people. We get as much information as we can. A snapshot of the person to start with so we get basic information, any risk, and important information about them.”

People and those close to them were involved in initial and on-going assessments. Pre-admission assessments contained details of the person, their likes and dislikes, health conditions and all aspects of their lives. Based on this, a plan was devised on how to best support the person. Care plans were developed from the initial assessments.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s nutritional needs were assessed, recorded and met. People were happy with the food on offer. Their comments included, “It’s pretty good. I like the roast beef and Yorkshire pudding and apple pie”, “It’s quite pleasant, edible. I don’t mind the food at all”, “Everything is ok dear, everything is very nice. I like everything and they make the curry how I like it.” One person however told us, “I’m not too keen on it. It doesn’t seem to be cooked right, it’s not like my cooking. I like curries and roast, they don’t do them like mine.” Relatives told us the food was ‘very good’ and their family members enjoyed their meals and were given choice. We saw evidence people were consulted and given choices at each meal and there were pictorial menus available and displayed on each table. The chef demonstrated a good awareness of people’s various dietary needs, which were updated regularly. In addition to the main menu options, people could request alternative meals, including meals such as Chinese and Indian food. Dietary needs, preferences and cultural requirements were also considered.

The kitchen was clean and there was a good stock of fresh food in the fridge. Food items were clearly labelled with dates and allergens.

People’s needs were monitored regularly and any improvements were noted. The registered manager told us, “Someone came here on end of life. We monitored [them] closely supported them in all aspects of their care, and after a while, [they] came off the syringe driver and now they are no longer on end of life.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff told us they enjoyed working at the home and there was a good culture and supportive teamwork. One staff member told us, “The culture is generally positive. The staff work together, support each other and remain focused on providing high-quality care.”

The service worked closely with other agencies and professionals to help ensure a more holistic approach to people’s health and wellbeing.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People told us their healthcare needs were met and their choices respected. People were supported to access a range of health care professionals. Care records contained detailed information about people’s health conditions and how these might affect people. There were regular visits from health care professionals involved in people’s care, and communication between them and the staff and management was effective.

Healthcare professionals said the staff and management team worked closely with them and communication was good. A healthcare professional told us, “I have no concerns. They are hardworking staff and management focussed on improving patient care.”

We saw evidence of a range of professionals’ involvement in people’s care. For example, the tissue viability nurse, speech and language therapy team, and the community mental health team (CMHT). The registered manager told us, “The mental health worker is amazing and comes every week to discuss people’s needs and liaise with the team.”

The provider employed a physiotherapist. They provided support to people to help them with a range of areas, such as pain management, mobility, falls prevention and rehabilitation. They showed us evidence that since their input, falls had reduced by 50%. The registered manager told us, “We also have our physio who treats people here. We have done leaflet drops so we invite the community here to have some rehab with the physio.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The staff team were vigilant and ensured people received effective care so they remained as healthy as possible. For example, one person who had a chronic skin condition was being supported by the tissue viability nurse for wound care management. There was a wound care plan in place which contained detailed instruction for staff to manage the condition.

There were systems in place to review people’s needs regularly, so appropriate actions could be taken in a timely manner if these changed. The registered manager told us, “We have ‘Resident of the day’. We do lots of work on care planning. Any immediate escalation is done, such as loss of weight or distress management. We have admitted more people with mental health issues. Some are young adults. We applied for funding for community access for them. This is working brilliantly. For example, [Person] is settled and calm because [they] enjoy their trips out. It is nice to see [them] enjoying that independence.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA). People told us staff asked for their consent and involved them in decisions about their care and support. They said their choices were respected. The staff received training in the principles of MCA and understood these.

The registered manager ensured people consented to their care and treatment where they could do so. Staff recorded people’s capacity regarding different decisions. The records we reviewed were clear and detailed. A professional told us, “The documentation is maintained in a structured manner, with Mental Capacity Assessments and Best Interests Decisions mostly completed and recorded appropriately.”