Background to this inspection
Updated
17 April 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector and an Expert 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
Chelsea Court Place 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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. This included notifications of significant incidents reported to the CQC and the previous inspection report. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, deputy manager, a nurse and six care assistants. We also spoke with the hospitality manager and staff, and the provider’s operations manager. We spoke with six residents and one visitor. We reviewed a range of records, including five people’s care records and medicines records. We looked at three staff files and various other records related to the running of the home, such as safeguarding and quality assurance records. We also looked at records relation to the maintenance of the premises, such as fire risk assessments and records of various health and safety checks.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed policies and procedures. We received feedback from five professionals and four relatives and representatives.
Updated
17 April 2020
About the service
Chelsea Court Place provides accommodation with personal and nursing care for up to 15 people, including those with dementia. At the time of our inspection, 15 people were living there. The home is located on the first floor of a large building, which had been redesigned and refitted to be a care home for people with dementia.
People’s experience of using this service
We received universally outstanding feedback about the home from people who lived there, relatives and professionals. Comments we received included, “I wish all elderly people could enjoy this level of care” and “It sets a real benchmark in terms of what other homes should be aspiring to.” Staff boasted, “We are the best in the country.”
People who lived at the home were known as ‘members’ and they received exceptional care and support from a very large and dedicated team of nurses, care assistants, hospitality and support staff. A professional told us, “They consistently went above and beyond for people.”
Staff cared deeply for the people they supported and spoke of them with genuine warmth and kindness. They knew the people they cared for incredibly well. A relative told us, “The carers are exceptional. Always there with a smile. Always so attentive.”
The home was particularly skilled at caring for people living with dementia and shared its expertise in this field with other services and professionals. People who had been distressed and displayed behaviour which had challenged staff in their previous homes were thriving. Every person we met was clearly happy and enjoying their lives, and were greatly exceeding previous expectations thanks to the excellent care they were receiving.
People living at the home were in the best possible health. The home took a holistic approach to health and wellbeing and was very responsive to people’s changing health needs. There were regular multi-disciplinary meetings with doctors, the physiotherapist and other health professionals to ensure people’s health and wellbeing. Doctors and other professionals had been involved in the setting up of the home’s procedures and told us of excellent communication.
The home had an exceptional programme of activities and events. There were two dedicated activities staff, enabling people to have one to one activities and excursions throughout the week. Many activities were designed to improve the wellbeing of people with dementia, such as dance and music therapy. The high staffing levels enabled people to leave the home and access the community more or less as they wished.
The home welcomed families and promoted relationships and community inclusion. Visitors enjoyed spending time there. A relative told us, “After my visits I feel utterly refreshed myself as though I have been at a holiday resort.”
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.
People had clear and well written risk assessments and care plans. Medicines were stored and managed correctly. The premises was well-maintained and there were good systems of safety checks and audits in place.
The home was exceptionally well led by the management team, who were in turn well-supported and resourced by the provider.
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 09 February 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.