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Church House Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 May 2019

About the service: Church House is a care home for up to 44 people. The service provides nursing care for frail older people. During the inspection 23 people were being supported by the service.

People's experience of using this service:

Since the previous inspection the registered provider had worked to address the issues identified and improve the quality of the care. A temporary manager had been employed and along with the regional manager and quality team, had made improvements. This manager recently left the organisation and a new manager has commenced at the home. The new leadership team were keen to make ongoing, consistent improvements and to create a stable staff team.

Overall, people and relatives were positive about the care and support they received. Staff felt happier that a permanent management team were in place and felt the home was more organised. Effective systems were now being followed to check on the quality and safety of the service and improvements were made when required. These improvements need to be consistent and sustained.

Staffing was kept under review. Overall there were enough staff to meet people’s needs, however some people raised concerns about changes in staffing. The new manager was making further improvements to the way staff were organised.

We found that medicines were managed safely and audits had effectively identified where improvements were required. Risks were identified and appropriate action had been taken to reduce these risks.

The building and equipment were clean and safely maintained. Some decoration and environmental improvements were being made.

People were satisfied with the food and drink available. Any nutritional risks were monitored and acted upon. There remained some gaps in the completion of records to monitor the care and support provided. The management team were aware of this and had been supporting staff to address this.

People told us staff were kind and caring. We received some very positive feedback about the compassionate support they had received at Church House. Ongoing improvements were needed to embed a person-centred approach.

Improvements had been made to care plans, however we found further improvements were required to ensure they included all specific details and that all charts were fully completed.

Staff were knowledgeable about people’s individual needs and responded well to any changes required.

People felt able to raise any concerns and knew how to make a complaint if necessary.

Quality assurance systems were in place and were being used more effectively to monitor key aspects of the service. Audits and checks were completed on a regular basis by the management team and registered provider to identify areas of improvement. A detailed home improvement plan had been implemented and the new manager continued to act on the necessary improvements.

This service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

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

Rating at last inspection: Inadequate (Published 16 October 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service had improved from inadequate to requires improvement overall.

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

Inspection areas

Safe

Requires improvement

Updated 15 May 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 15 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 15 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 15 May 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 15 May 2019

The service was not always well-led

Details are in our Well-Led findings below.