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Churchfields Care Home Outstanding

The provider of this service changed - see old profile

Reports


Inspection carried out on 11 February 2020

During a routine inspection

About the service

Churchfields is a care home providing personal and nursing care to 31 older people at the time of the inspection. The service can support up to 35 people.

People’s experience of using this service and what we found

Churchfields had a strong and visible person-centred culture which ensured that staff in all roles were highly motivated and offered care and support that was exceptionally compassionate and kind. The ethos of the home made care and compassion every staff member’s business. Everyone, without exception, spoke of the commendable kindness, compassion and understanding shown by staff.

The service was a family run organisation which excelled in making the service a home from home. The provider put people at the centre of everything they did. People were valued and respected as individuals allowing them to be partners in their care. There was an exceptionally strong ethos within the service of treating people with dignity and respect. People were at the forefront of the service delivery and the provider was committed to and passionate about providing a high-quality service.

We received exceptionally positive feedback from all people and relatives. The feedback reflected staff were very kind, caring and committed. People complimented the continuity of care provided by regular staff which contributed to the building of meaningful relationships. Staff exceeded in recognising what was important to people and ensured individually tailored approach that met people's personal needs, wishes and preferences was delivered. There was evidence the staff often went 'the extra mile' to meet people's needs. People, relatives and professionals, without exception said they had and would definitely recommend Churchfields to families and friends.

Staff used innovative and individual ways of involving people and others in their care. The care and support plans were reviewed and changed as people’s needs changed. This included reasonable adjustments which were used to encourage independence.

The service ensured arrangements for social activities met people’s individual needs and followed best practice guidance, so people could live as full a life as possible. The service had found out what people had done in the past and evaluated whether it could accommodate activities and made them happen.

The service worked closely with healthcare professionals and provided excellent end of life care. People experienced a comfortable, dignified and pain-free death. We saw feedback from relatives following end of life care was commendable. Staff had the specific skills to understand and meet the needs of people and their families in relation to emotional support and the practical assistance they need at the end of the person’s life. Records showed staff had attended end of life care training. Staff told us they were supported by the management team with empathy and understanding.

The provider’s vision and values put people at the heart of the service. These were centred around people having a sense of purpose and of belonging, to live well, and to find enjoyment. This was supported by ensuring people had choice on how they wanted to spend their time and with whom. They were developed with people and staff in meaningful and creative ways and were owned by everyone. The registered manager provided exceptional leadership and had developed a dedicated staff team who were committed to the vision and values of the service. The provider had effective quality assurance systems in place which were used to drive improvement.

People living at Churchfields told us they received safe care from skilled and knowledgeable staff. Staff knew how to identify and report any concerns. The provider had safe recruitment and selection processes in place.

Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely, and people received

Inspection carried out on 20 June 2017

During a routine inspection

This inspection took place on 20 June 2017 and was unannounced.

Churchfields care home is registered to provide accommodation for up to 35 older people who require nursing or personal care. At the time of the inspection there were 27 people living at the service.

There was a registered manager in post. 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 worked closely with the deputy manager and the provider.

People supported by the service felt safe. Staff had a clear understanding on how to safeguard people and protect their health and well-being. People received their medicine as prescribed. There were systems in place to manage safe administration and storage of medicines.

People had a range of individualised risk assessments in place to keep them safe and to help them maintain their independence. Where risks to people had been identified risk assessments were in place and action had been taken to reduce the risks. Staff were aware of people’s needs and followed guidance to keep them safe.

Churchfields care home had enough suitably qualified and experienced staff to meet people's needs. People told us they were attended to without unnecessary delay. The home had robust recruitment procedures and conducted background checks to ensure staff were suitable for their role.

Staff received adequate training and support to carry out their roles effectively. People felt supported by competent staff that benefitted from regular supervision (one to one meetings with their line manager) and team meetings to help them meet the needs of the people they cared for.

The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and applied its principles in their work. The MCA protects the rights of people who may not be able to make particular decisions themselves. Where people were thought to lack capacity to make certain decisions, assessments had been completed in line with the principles of MCA. The registered manager and staff understood their responsibilities under the Deprivation of Liberty Safeguards (DoLS); these provide legal safeguards for people who may be deprived of their liberty for their own safety.

People’s nutritional needs were met and people benefited from a good dining experience. People were given choices and received their meals in a timely manner. Staff treated people with kindness, compassion and respect and promoted people’s independence and right to privacy. People received high quality care that was personalised to meet their needs.

People were supported to maintain their health and were referred for specialist advice as required. Where people had received end of life care, staff had taken actions to ensure people would have as dignified and comfortable death as possible. End of life care was provided in a compassionate way.

Staff knew the people they cared for and what was important to them. Staff appreciated people’s unique life histories and understood how these could influence the way people wanted to be cared for. People were actively involved with the local community. People were encouraged and supported to engage with services and events outside of the home. Staff supported and encouraged people to engage with a variety of activities and entertainments available within the home. Activities were structured to people's interests and people chose what activities they wanted to do. The environment was designed to enable people to move freely around the home.

Feedback was sought from people and their relatives and used to improve the care. People knew how to make a complaint and complaints were managed in accordance with the provider’s complaints policy. Staff told us