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Inspection Summary


Overall summary & rating

Good

Updated 7 April 2021

About the service

Church House Care Home is a residential care home providing personal and nursing care in one adapted building to 38 people aged 65 and over at the time of the inspection. The service can support up to 44 people.

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

The service did not have a manager registered with CQC and this had been the case for some time. Steps had been taken to recruit a new manager with a view to them becoming registered with CQC. As an interim measure, a support manager who was familiar with Church House, had returned to manage the service. The manager had devised an action plan with a view to maintaining good standards of care and feeding this into a home improvement plan.

The management of the service was open and inclusive, involving staff and service users and gaining their views. Care plans were person-centred, and audits were in place to monitor overall standards of care with registration requirements such as notifying us of significant events continued.

People told us they felt safe living at Church House and were complimentary of the support they received from staff. One person told us they had the Covid-19 pandemic had not adversely affected their quality of life. They also told us they always received their prescribed medicines when they needed it, and this was never missed. They were complimentary of staff approach and told us there was always staff around to respond to their needs.

Staffing levels recently had included an increased use of agency staff. While this was not having an adverse impact; the manager was seeking to recruit more permanent staff. Inductions were provided to agency staff not familiar with the service and they were tested for Covid-19. All new staff were appropriately recruited.

The premises were clean and hygienic, and measures were in place to minimise the risk posed by Covid-19 to both service users and staff. Other assessments were undertaken to mitigate the risks faced by service users from health conditions and the wider environment.

The manager reflected on accidents or incidents and sought to minimise future re-occurrence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 Good. (published 8th October 2020).

Why we inspected

We received concerns in relation to concerns received about infection control, the absence of managerial support and staffing levels within the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 the service can respond to coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

Inspection areas

Safe

Good

Updated 7 April 2021

The service was safe.

Details are in out safe findings below

Effective

Good

Updated 7 April 2021

Caring

Good

Updated 7 April 2021

Responsive

Good

Updated 7 April 2021

Well-led

Requires improvement

Updated 7 April 2021

The service was not always well-led.

The service was not well-led.

Details are in our well-led findings below.