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Reports


Inspection carried out on 29 November 2017

During a routine inspection

This inspection took place on 29 November 2017 and was unannounced.

At the last inspection in March 2017, we found the provider was not meeting legal requirements in relation to Safe care and treatment, Staffing and Good governance. At that inspection, we rated the service ‘Requires Improvement’.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to make improvements for people who used the service.

During this inspection, we checked the improvements the provider had made and found they were meeting legal requirements.

Chaseley 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.

Chaseley Care Home is registered to provide accommodation for up to 24 people who require 24-hour care. At the time of our inspection, 18 people were living at the home. The premises are an adapted hotel on the promenade. Accommodation in provided over three floors, with a passenger lift for access between floors.

The service had a registered manager. 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.

Electrical and gas installations had been tested and certified as safe. A full re-wire of the home had taken place in August 2017. The water supply had also been checked for safety.

The provider had refurbished some bedrooms which were pleasantly decorated. However, some other areas of the home required refurbishment. There were areas of the home which required maintenance. We have made a recommendation about this.

We found the service had safe practices with regard to managing medicines. Staff who administered medicines had all been trained to do so safely.

Staffing levels had been assessed in line with the needs of people who lived at the home. This helped to ensure there were always enough staff deployed to meet people’s needs.

People’s needs were met by a well-established and trained staff team. Staff received a good level of support from the management team.

People we spoke with told us staff were kind and caring. Staff respected people’s privacy and dignity. People were treated as individuals and enabled to maintain as much independence and control as possible.

People told us they felt safe living at the home. The provider had systems to protect people against the risks of abuse or unsafe treatment. Staff we spoke with were aware of procedures to follow in order to help people to keep safe.

People were offered a choice of food and drinks and spoke positively about the meals provided to them.

The service sought guidance and advice from external professionals when necessary, in order to ensure people’s ongoing health needs were met.

Staff understood the requirements of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards. The service worked within the law to support people who may lack capacity to make decisions for themselves.

Written plans of care and assessments of people’s needs were kept under review. These were personalised and showed people or, where appropriate, others acting on their behalf had been involved in the care planning process.

The provider had a complaints policy. People knew how to make a complaint or raise concerns and felt they would be listened to. People told us they felt any concerns would be dealt with appropriately.

The registered manager carried out audits and encouraged people to share their views on their experiences of the service. This helped to ensure the quality of the service was assessed and monitored regularly.

People w

Inspection carried out on 2 March 2017

During a routine inspection

This inspection took place on 02 and 03 March 2017 and was an unannounced inspection.

Chaseley Care Home provides residential accommodation for up to 24 people whose needs are associated with the ageing process and long term conditions. The home offers short to long term care. Accommodation is over three floors with full lift access. The sun lounge offers promenade and sea views, with parking to the front of the building. There is a separate lounge and dining room.

Chaseley Care Home was registered with The Care Quality Commission (CQC) as a different limited company until September 2016 when the new company was registered with CQC. This is the first inspection as the new company. The director of the previous company is a director of the new company. The registered manager has continued to manage the home. This has meant the director and manager of the new service have continued knowledge of the home and people who live there.

At this inspection we found a number of breaches of the Health and Social Care Act 2008

(Regulated Activities) Regulations 2014. Breaches were found for safe care and treatment, management of medicines and staffing.

At the time of the inspection visit 19 people lived at the home.

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.

We checked the safety of the premises. We looked at the electrical installation certificate that had been issued in October 2013. These certificates are valid for five years. However the certificate stated there were immediate and urgent actions required, which had not been carried out.

This was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 because the provider had not ensured that the premises and equipment were safe for service users, staff and visitors.

Several bedrooms had been refurbished and looked smart and welcoming. However other areas needed attention. A number of windows had broken locks and could not be opened. Some communal areas and bedrooms although clean, were ‘tired and worn’. On the first day of inspection we saw lots of bin bags full of used continence products stored in the back garden. These were unsightly and restricted people’s access to the garden. These had been moved when we returned to the home on day two of the inspection.

Staff did not always manage medicines safely. We observed a member of staff leave the medicines trolley opened and unattended. This meant people had access to medicines not intended for them.

This was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 because the provider had not ensured medicines were managed safely.

There was a low staff turnover and no new staff had been appointed since the home was re-registered with CQC. Staff had been trained in care and had the skills and knowledge to provide support to the people they cared for. However staffing levels left people unsupervised, with little attention for long periods of time. This was of concern where people had dementia or high care needs.

This was breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 because the provider had failed to ensure sufficient staff were deployed to support people.

Although we found the registered manager and staff team provided good care and the registered manager supported and encouraged the staff team, the home was not always well led. Audit systems were in place however they were not robust or effective as they did not highlight the concerns CQC noted during the inspection. The audits did not effectively evaluate the service or identify staffi