We carried out a review of the data available to us about Chadwell Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Chadwell Home, you can give feedback on this service.
Chadwell Home is a residential care home providing personal care to up to 3 people. The service provides support to adults with learning disabilities and those with mental health needs. At the time of our inspection there were 3 people using the service. The care home is an ordinary house on a residential street.
People’s experience of using this service and what we found
People and relatives told us they were happy with the service and the care provided. One relative told us, “I would rate it [the care home] as very good. I would say 10 out of 10.”
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: People lived in an ordinary house that was in a residential area. People were supported in a way that was safe. They received medicines from staff who had undertaken training about this. The provider worked with other agencies to help provide the right support for people.
People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: Care was person-centred and promoted people’s dignity, privacy and human rights. People were able to make choices over their daily lives and staff treated people in a dignified and respectful way.
Right Culture: There was an open and positive culture at the service. Staff and people interacted well together. The management of the service sought to promote an inclusive and empowering atmosphere, where the views of people were sought.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires improvement [published 2 August 2021].
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 1 July 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires improvement to Good. This is based on the findings at this inspection.
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 that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chadwell Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Chadwell Home is a residential care home providing personal care to three people with learning disabilities and/or mental health needs. The service can support up to three people. Each person has their own bedroom, and other facilities are shared. There is a bedroom for sleep-in staff on the third floor.
People’s experience of using this service and what we found
Medicines were not always managed in a way that was safe. Quality assurance and monitoring systems were not always effective in identifying shortfalls. Staff recruitment was not carried out in line with the provider’s staff recruitment policy, and we have made a recommendation about this. Pre-admission assessments of people did not cover their needs related to equality and diversity issues, and we have made a recommendation about this
Systems were in place to protect people from the risk of abuse. Risk assessments for people set out how to mitigate the risks they faced. Checks had been carried out to help ensure the premises were safe. There were enough staff working at the service to meet people’s needs. Accidents and incidents were reviewed so lessons could be learnt. Steps had been taken to reduce the risk of the spread of infection.
Staff were supported through training and supervision to gain knowledge and skills to help them in their role. People were supported to eat a balanced diet and were able to choose what they ate. The premises were clean and well maintained. People had access to health care professionals.
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 told us staff were caring and that they were treated with respect. Staff understood how to support people in a way that promoted their privacy, independence and dignity. The service sought to meet people’s needs in relation to equality and diversity issues through the care planning process, with the exception of pre-admission assessments, as previously mentioned in this summary.
Care plans were in place for people, which set out how to meet their needs in a person-centred way. Information was provided to people in a way that was accessible to them. Systems were in place for dealing with complaints, although the registered manager told us there had not been any complaints since the service became operational in April 2020. People had been unable to participate in some of their preferred community-based activities due to government restrictions related to Covid-19. However, they had been supported to engage in a variety of in-house activities.
People and staff told us there as an open and positive culture at the service. People were supported to express their views. The provider was aware of their legal obligations, and worked with other agencies to develop best practice and share knowledge.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The model of care and the setting maximised people’s choice, control and independence. Care was person-centred and promoted people’s dignity, privacy and human rights. The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 25 November 2019 and this was the first inspection.
Why we inspected
We inspected this service because it had been operational for over a year without having an inspection and we wanted to check if the provider was operating in line with regulations.
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 that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement
We have identified breaches in relation to the management of medicines and quality assurance processes at this inspection.
Please see the action we have told the provider to take at the end of this report.
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.