Background to this inspection
Updated
2 December 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 2 inspectors.
Service and service type
Chataway Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Chataway Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. However, a new manager had recently been recruited.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 6 people living at the service. We observed interactions between people and staff. We looked around the premises while checking aspects of health and safety and infection control. We spoke with 7 staff members, including 3 care workers, the maintenance person, a nurse, the manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included 5 people's care records and various medicines records. We looked at 3 staff files in relation to safer recruitment and staff supervision. A variety of records relating to staffing and the management of the service, including quality assurance, staff training, accidents and incidents, policies and procedures, health and safety, and meeting minutes were also reviewed.
Updated
2 December 2023
About the service
Chataway Nursing Home is a residential care home providing personal and nursing care to up to 26 people. The service primarily provides support to adults living with mental health conditions. At the time of our inspection there were 22 people using the service.
People’s experience of the service and what we found:
We were not assured risks connected to the premises safety had been responded to in a timely manner. Following our inspection assurances were provided that all outstanding works would be addressed.
While people received care and support from regular staff who had the required skills, we found staff induction was not robust particularly for new staff members entering health and social care. We have made a recommendation the provider reviews their training and induction processes.
Medicines were not always safely managed. We found concerns in relation to the storage and safe administration of medicines.
People were not always 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. We have made a recommendation the provider reviews best practice guidance in relation to the application of the Mental Capacity Act.
The service previously followed a recovery model that focused upon health promotion and rehabilitation. However, at this inspection a bespoke recovery model was no longer deployed. We have made a recommendation the provider consults current guidance on rehabilitation support models.
Managers evaluated the quality of care and support provided to people. However, existing quality assurance processes were not always effective or completed in a timely manner as they had not identified the issues we found at this inspection.
People received care and support from a caring staff team and were involved in making decisions about their care. Staff supported people to remain socially engaged by participating in various activities.
Staff were observed to be kind and caring. People told us they were happy with the support they were receiving. Staff were safely recruited. The provider carried out the required checks on newly appointed staff before they started working at the home.
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 13 August 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report
The provider has taken action to mitigate risks following our inspection.
Follow Up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.