Background to this inspection
Updated
8 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic, we are conducting a thematic review of infection control and prevention measures in care homes.
The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
This inspection took place on 23 November 2020 and was announced.
Updated
8 December 2020
Chiltern House Care Home is a residential care home for up to 22 people with physical disabilities catered for. The service is split into three wings over one floor.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained good.
Why the service is rated Good.
There were safe systems in place to monitor people’s medicines. We observed a member of staff administering medicines to people and the correct procedure was followed. People received their medicines as the prescriber intended. Risk assessments were assessed and managed. These included procedures to follow in the event of an emergency.
Staff completed induction training and shadowed experienced staff before working alone. Staff received supervision to monitor their work. We observed the supervision matrix which confirmed this. People were offered a choice of menu which included a vegetarian option. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were treated with dignity and respect. We saw staff knocking on people’s doors and waiting for a response before entering. People told us they could come and go as they wished. Care plans were individualised and detailed people’s preferences on how they wanted to be supported.
People received care that was responsive and effective and tailored to their needs. People had detailed care plans in place which included a health plan and risk assessment. A complaints procedure was available for people and their relatives. People told us they would speak to the manager or staff in the first instance. People were able to join in activities and plan trips for the month ahead. We saw people engaged in activities and were preparing for Christmas events.
The service followed their infection control policy and procedure. We saw the premises were visibly clean and free from odours. The service used an outside cleaning company to ensure the environment was clean and a cleaning scheduled was in place.
People were provided with a well led service. The organisations values and philosophy were explained to staff and there was a positive culture where people were included.
Audits completed ensured the services policies and procedures were followed. The service had processes in place to ensure there was a clear audit trail of any actions required following completion of audits. The service worked closely with other healthcare professionals who offered advice support and training. Regular meetings were held which gave clear instructions on any areas of concern. The service notified us of any reportable occurrences which were followed with actions to be taken. The service met all relevant fundamental standards.
Further information is in the detailed findings below