Archived: Chapel Hill

Updated 20 February 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

The inspection team on the first day consisted of one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. On the second day, one inspector returned to the home.

Service and service type

Chapel Hill is a ‘care home’. People in care homes receive accommodation and 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. This means that they 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 and was carried out on 17 and 21 January 2020.

What we did before the inspection

Before the inspection, we reviewed information we held about the service since our last inspection. This included information received from the provider as required by law to report certain types of incidents and events. We sought feedback from the local authorities who commissioned care from the provider. The provider sent us a provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service for their views about the service. We also sought feedback from one visiting professionals. We spoke with three members of care staff including the registered manager. We reviewed records, including the care records of six people using the service, and the recruitment files and training records for three staff members. We also looked at records related to the management of the service such as quality audits, accident and incident records, and policies and procedures.

Updated 20 February 2020

About the service

This inspection took place on 17 and 21 January 2020 and was unannounced. Chapel Hill care home is a mental health project which provides accommodation and support for up to 21 people with the aim of preparing them to move on to independent living.

People's experience of using this service

People said they felt safe and that their needs were met. Medicines were administered safely. Risks were identified, assessed and appropriate risk management plans were in place to provide guidance for staff on how to minimise any risks. Accidents and incidents were logged and investigated in a timely manner.

People were protected against the risk of infection. Accidents and incidents were appropriately managed and learning from this was passed on to staff. There were enough staff deployed to meet people’s needs in a timely manner.

Before people joined the home, assessments to ensure people’s needs could be met. Staff were supported through induction, training and supervisions. People were supported to eat and drink sufficient amounts for their health and wellbeing. People were living in a home which was designed and decorated and personalised to meet their needs. People had access to a variety of healthcare professionals, when required to maintain good health.

People's rights were upheld with the effective use of the Mental Capacity Act 2005. People were 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. Their needs were accurately assessed, understood and communicated.

Staff were kind and caring and people’s privacy, dignity and independence were respected. There was a range of appropriate activities for people to partake in if they wished to. People were protected from the risk of social isolation. People had individual, person-centred weekly activity plans. Information was available to people in a format to meet their individual communication needs if required. The service had an effective system in place to manage complaints.

The home had effective systems in place to assess and monitor the quality of the service and feedback had been sought feedback from people to drive improvements. The provider worked in partnership with key organisations to ensure people's individual needs were planned.

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 of the service was requires improvement (published on 6 March 2019).

At our previous inspection in January 2019 we identified that improvements were needed as one to one-sessions with keyworkers were still not being documented. We also found that inhouse six-monthly reviews were not always carried out. This included completing and/or monitoring the 'Recovery Star' which enables people using the service to measure their own progress with the support of staff. The provider did not have effective processes in place to monitor the quality of the service.

At this inspection we saw that the provider had made improvements and Chapel Hill is now meeting CQC regulations.

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.