You are here

Chaston House Care Home Inadequate

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 18 April 2020

About the service

Chaston House Care Home is a residential care home providing personal care to up to 11 people aged 65 and over. At the time of the inspection, there were nine people using the service.

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

At our last inspection on 24 January 2019, we issued a breach of Regulation 19 because the provider had not sought references for some staff employed by the service and had relied on previous employers’ checks. At this inspection, we found improvements had been made in relation to this. However, we found other areas of concern.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Risk assessments and support plans were inadequate and did not support staff to ensure people received safe care. People told us they felt safe; however, the systems in place did not always protect people from avoidable harm. There was no learning from incidents and accidents and people were not always protected from the risk of reoccurrence. People were not protected from the risk of infection and cross contamination. Staff did not always follow the provider’s health and safety and fire policy and procedures and there were significant safety risks identified during our inspection.

The provider did not always ensure there were sufficient staff to meet people's needs. This increased the risk of people's needs not being met in a timely way and placed people at risk of harm.

People were not always treated in a kind and dignified manner. The staff worked in a task-focussed manner and did not always meet people’s needs or consult them in relation to what they wanted to do. Staff did not always know people as individuals and were not always aware of their needs. People’s communication needs were not always met.

Care plans were not person-centred, were inconsistent and did not always guide staff to provide person-centred care. People were at risk of social isolation and did not engage in community activities. There were few activities taking place, and the activities on offer did not meet people’s needs. The environment and activities had not been developed to meet the needs of people living with dementia.

The provider’s quality monitoring systems were inadequate as they had failed to identify the shortfalls we found during our inspection and had not ensured people were always kept safe. We found the service failed to demonstrate they were providing care and support that was safe, caring, effective or responsive. This put people at risk of harm.

Overall people received their medicines as prescribed. However, staff did not always follow the provider’s medicines policy in relation to medicines to be given ‘as required’.

People’s healthcare and nutritional needs were met, although mealtime was not always a positive experience for people who used the service.

Staff were supervised and received an induction and relevant training to help ensure they could provide effective care.

The provider acted in accordance with the requirements of the MCA. The service worked well with other health and social care professionals who spoke well of them.

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 5 March 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safe care and treatment, staffing, person-centred care, dignity and re

Inspection areas

Safe

Inadequate

Updated 18 April 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 18 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 18 April 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 18 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 18 April 2020

The service was not well-led.

Details are in our well-led findings below.