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We are carrying out a review of quality at Church House Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 8 October 2020

About the service

Church house is a care home providing personal and nursing care for up to for up to 44 people in one adapted building. At the time of the inspection 24 people were living at the service.

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

Overall, people were positive about the care and support they received at Church House. Risks to people's health and wellbeing were assessed and mitigated. Improvements had been made in relation to care records, however aspects of record keeping needed further focus and improvement, which had already been identified and was being addressed.

The provider had systems in place to safeguard people from the risk of abuse. Staff understood how to recognise and report any concerns about people's safety and well-being. We asked the manager to raise a safeguarding referral with the local authority in regard to one comment received, which needed further investigation.

There were enough staff to keep people safe, however, staff were very busy at certain times. The manager confirmed staffing levels would be increased at these times by introducing a new shift pattern. The provider followed safe recruitment processes to ensure the right people were employed.

People's medicines were managed safely. Medicines records were audited regularly. The home was clean, and staff followed procedures to prevent the spread of infections. The impact of the COVID-19 pandemic had been well managed.

Care plans had improved and provided staff with the information they needed to meet people's needs. Care was now provided in a more individualised way and people could choose how they wanted to spend their time. A variety of activities were offered to people.

Complaints had been dealt with promptly following the provider’s policy. People told us they felt comfortable raising any concerns and that these would be listened to.

The management team had engaged and worked hard to improve and develop a culture of person-centred care. A more open and supportive culture had been created. The staff morale had improved and there was a supportive and effective team approach evident.

There was a Home Development Plan in place and the new manager had a clear focus on areas which needed further development. They were aware of the importance of sustaining improvements made and maintaining stability within the service. More robust quality assurance systems were now in place to ensure any shortfalls were identified and to drive continuous improvement.

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

Rating at last inspection

The last rating for this service was requires improvement (published 15 May 2019).

Why we inspected

This was a planned focused inspection based on the previous rating.

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 coronavirus and other infection outbreaks effectively.

This report only covers our findings in relation to the key questions Safe, Responsive and Well-led.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Church House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 8 October 2020

The service not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 October 2020

Caring

Good

Updated 8 October 2020

Responsive

Good

Updated 8 October 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 8 October 2020

The service was well-led.

Details are in our well-led findings below.