Updated 27 May 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection team consisted of an 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
Chawley Grove 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.
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. Inspection activity started on 26 April 2021 and ended on 4 May 2021. We visited the service location on 28 April 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern. We received feedback from five relatives about their experience of the care provided. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service. We looked around the home and observed the way staff interacted with people. We looked at three people’s care records and three medicine administration records (MAR). We spoke with eight members of staff including the registered manager, clinical lead, a nurse, homemakers, the chef and a Wellbeing and Lifestyle Coach. We looked at five recruitment and training records and quality assurance records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We received feedback from two healthcare professionals. We also corresponded with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.