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Inspection Summary


Overall summary & rating

Good

Updated 26 October 2018

Chaseview Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Chaseview Nursing Home accommodates 60 older people some of whom were living with dementia. The provider also provided nursing care. On the days of our inspection 56 people were living in the home. The home is situated on two floors and was accessible to wheelchair users.

This inspection was unannounced and took place on 14 and 18 September 2018.

We completed a previous inspection of this home in May 2017 which we published in July 2017. The provider was rated Requires Improvement overall and was in breach of Regulation 12, Safe care and treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At that inspection we issued a Warning Notice to the provider. In response the provider sent us an action plan to tell us what they would do to improve the service and to comply with this regulation.

A focused inspection was carried out in September 2017, to find out if the provider had addressed the concerns identified at the previous inspection and that they had met the legal requirements. We looked at the key question ‘Safe’ because we had received concerns from members of the public about people’s safety. At this inspection we found that the provider had not taken sufficient action to comply with the breach of Regulation 12. The provider was also in breach of Regulation 13, Safeguarding service users from abuse and improper treatment and Regulation 17, Good governance.

Following the inspection in September 2017, the registered provider was issued a Notice of Decision to apply conditions to their registration. The registered person was required to ensure that they supervised the management of Chaseview Nursing Home and monitor compliance against the regulations. This included their duty to ensure that people received safe care and treatment and that they were protected from abuse and improper treatment. The registered person was required to ensure that quality improvements were implemented and sustained.

At this inspection we found that improvements had been made and that the provider was no longer in breach of the regulations.

Chaseview Nursing Home had a registered manager in place who was present throughout this inspection. 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.

People were safely supported with their medicines by competent staff members. People were confident that they would receive their medicines as prescribed and on time. There was guidance available to staff when supporting people with “when required” medicines.

People were safe from the risk of abuse and ill-treatment as staff knew how to recognise and respond to concerns. Any concerns raised with the registered manager were acted on appropriately. There were enough staff to support people to meet their needs in a timely manner.

New staff members received an introduction to their role and were equipped with the skills they needed to work with people. Staff members had access to on-going training to maintain their skills and to keep up to date with changes in adult social care. The provider followed safe recruitment procedures when employing new staff members.

People received care that was effective and personalised to their individual needs and preferences. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Inspection areas

Safe

Good

Updated 26 October 2018

The service was safe.

People received their medicines, as prescribed, with the assistance of staff who were competent to safely support them. People received support from sufficient numbers of staff to meet their individual needs in a timely manner. People were protected from the risks of harm or abuse as the staff team knew how to recognise the signs and how to report concerns. The provider had systems in place to identify and respond to the risks of harm associated with the environment within which they lived. The provider followed safe staff recruitment checks.

Effective

Good

Updated 26 October 2018

The service was effective.

People had their rights protected by staff members who were aware off and who followed current guidance. People were involved in decisions about their care and support. People received sufficient food and fluids to maintain their well-being. People were assisted by staff members who felt well supported in their role. When needed, people were referred onto community based health professionals promptly. The environment within which people lived was clear and open and was suitable to meet their needs.

Caring

Good

Updated 26 October 2018

The service was caring.

People had positive and empowering relationships with the staff who supported them. People had their privacy and dignity protected when they were assisted. People’s diversity was respected by staff members. People were provided with information relating to their care in a way they understood. People received support when upset or anxious. People felt valued by those supporting them. People were encouraged to maintain relationships that mattered to them.

Responsive

Good

Updated 26 October 2018

The service was responsive.

People were involved in their assessments of care. People received support from staff members who knew their individual preferences. People took part in activities they enjoyed and found stimulating. People and their relatives were encouraged to raise any issues. The management team had systems in place to address any concerns or complaints.

Well-led

Good

Updated 26 October 2018

The service was well-led.

The provider had systems in place to monitor the quality of care provided and to drive improvements if needed. People and staff members found the management team approachable and supportive. People were kept informed about the service they received and their views and opinions were valued. The management team had good links with community based facilities which people benefited from.