Chaseview Care Home

Updated 19 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by 2 inspectors, a bank inspector, a medicines inspector, a nurse specialist advisor, and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Chaseview 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. There was a manager who was applying for this role. We were supported by senior members of staff and an area director, who was a representative of the provider and was managing the service.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We reviewed a range of records. This included 14 people's care plans and risk assessments. We reviewed 11 people's medicines administration records in detail. We also looked at 10 staff files, maintenance records, Deprivation of Liberty Safeguards authorisations records, and accidents and incidents records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We spoke with 17 members of staff including the manager, area director, 2 nurse consultants, deputy manager, 6 healthcare assistants, a registered nurse, a unit manager, 2 activities co-ordinator, head chef, and, one maintenance person. We spoke with 10 people living at the service and made observations within the communal areas. We also spoke with 2 social workers and 1 doctor.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our inspection. We looked at training data and quality assurance records. We spoke with 28 relatives by telephone about their experience of the care provided.

Updated 19 July 2023

About the service

Chaseview Care Home is a residential care home providing personal and nursing care to up to 120 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 60 people using the services. The accommodation was arranged across 3 separate units. One of the units specialises in providing care to people living with dementia. Most bedrooms have en-suite facilities. There is a large communal lounge, a dining room, and a garden.

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

Since our last inspection, the provider had taken action to improve staffing level. The service had enough appropriately skilled staff to meet people's needs and keep them safe. People and relatives were happy with staffing levels. The provider had a safe staff recruitment process in place. Staff received appropriate training, support and development which enabled them to meet people's needs.

Systems were in place to protect people from the risk of abuse. Risk assessments had been carried out to identify the risks people faced. These included information about how to mitigate those risks. Steps had been taken to help ensure the physical environment was safe.

People received their prescribed medicines in a safe way. The service uses electronic Medicines Administration Records (MAR) to record all administrations. Regular medicine audits were taking place. Infection control and prevention systems were in place. Accidents and incidents were reviewed to see if any lessons could be learnt from them.

Assessments were carried out of people's needs prior to the provision of care to determine if their needs could be met at the service. Staff were supported through training and supervision to gain knowledge and skills to help them in their role. People were supported to eat a balanced diet and were able to choose what they ate. The premises were clean and well maintained. People had access to health care professionals.

People were supported with their nutritional needs. Specialist diets were in place when required and people were monitored to help them retain a healthy weight. Their health care needs were monitored, and staff ensured when support from external health professionals was required this was sought in a timely manner.

Staff engagement with the people they support was good and people were treated in a caring and respectful way. People and their relatives had the opportunity to express their views on their care. Staff worked in a way which supported people's dignity and privacy.

There were activities provided seven days a week. People had asked for some activities to be provided later in the afternoon/early evening so that their visitors were not rushed. During our inspection, the provider arranged one persons’ 100th birthday party. The provider bought a present, cake, and a birthday card, and also arranged a birthday celebration with friends, families and staff at Chaseview Care Home.

People and relatives told us staff were caring and that they treated people with respect. Staff understood how to support people in a way that promoted their privacy, independence and dignity. The service sought to meet people's needs in relation to equality and diversity.

Care plans were in place for people which set out how to meet their needs in a person-centred way. Information was provided to people in a way that was accessible to them. Systems were in place for dealing with complaints, and complaints had been dealt with accordingly.

The service had a complaints policy in place and staff were aware of how to support people should they wish to complain. The manager of the service was approachable and open, staff and people in their care felt supported.

We received positive feedback on the service. One person said, ''there’s nothing wrong with the home. I’m happy, carers are kind and they listen to me.''

Quality assurance and monitoring systems were in place to help drive improvements at the service. People and staff told us there was an open and positive culture at the service. People were supported to express their views. The provider was aware of their legal obligations and worked with other agencies to develop best practice and share knowledge.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate, published 16 November 2022 and there were breaches of Regulation 12 (safe care and treatment), Regulation 18 (staffing), Regulation 17 (good governance), Regulation 9 (person-centred care), Regulation 10 (dignity and respect), Regulation 11 (need for consent), Regulation 14 (meeting nutritional and hydration needs), and Regulation 15 (premises and equipment).

This service has been in Special Measures since 16 November 2022. This meant we kept the service under review and, we re-inspected the service within 6 months to check for significant improvements. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Chaseview Care Home on our website at www.cqc.org.uk

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection in September 2022. The overall rating for the service has changed from Inadequate to Good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.