Background to this inspection
Updated
10 January 2020
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 Care Act 2014.
Inspection team
This inspection was carried out by two inspectors.
Service and service type
Churchill House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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. A registered manager 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.
What we did before inspection
We reviewed information we had received about the service since the last inspection. This included checking for any statutory notifications that the provider had sent to us. A statutory notification is information about important events which the provider is required to send us by law. We sought feedback from the local authority and professionals who work with the service. We also contacted the local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider had submitted a provider information return (PIR) 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.
During the inspection
We spoke with three people who used the service and five relatives. We spoke with two senior nurses who were assuming management responsibilities at the home on the day of the inspection and four other support staff. We looked at four peoples care files and one complete staff file. We also reviewed other records to demonstrate the effective running of the service.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Following the inspection
We received written feedback from a local health care professional who regularly visits the home.
Updated
10 January 2020
About the service
Churchill House is a nursing home providing personal and nursing care to people aged 65 and over. The service can support up to 62 people and at the time of the inspection 60 people were living at the home.
People’s experience of using this service and what we found
People received safe and effective care and support to meet their individual needs. Care was personalised and reflected people’ preferences, needs and individual characteristics.
People were protected from harm as risks were assessed and managed and staff were confident to recognise and report abuse.
People received their medicines as prescribed and there were procedures in place to ensure the process was carried out safely.
People were supported by a staff team who had the knowledge and skills to meet their needs effectively. There were sufficient staff on duty to meet people’s care needs in a timely manner.
Staff were well trained and well supported.
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.
Staff worked in partnership with health and social care professionals to ensure consistency and ensure people received appropriate and safe support. People were supported to access healthcare, and other agencies, when required. Although people's dining experience differed depending upon where in the home they lived, people received appropriate support to eat and drink and their nutritional needs were met.
Staff were caring and respectful, promoting people’s privacy, dignity and independence.
People’s care was responsive to their changing needs. People, relatives and health and social care professionals were involved in the assessment and planning of care and this joint working meant people’s needs were met. People knew how to raise a concern and always felt listened to. Information was available in different formats to make it accessible.
People had access to, and enjoyed, a range of activities both within the home and in the local community.
People felt the service was well managed and people and staff had opportunities to share their views about the service. Staff felt listened to when they shared feedback. Audits monitored and ensured the quality of care provided and feedback was sought from people who used the service to ensure their ongoing satisfaction.
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 outstanding (published 30 May 2017). At this inspection the service is now rated as good.
Why we inspected
This was a planned inspection based on the previous rating.
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.