12 and 13 November 2014
During a routine inspection
The inspection of Chelmsford Nursing Home took place on the 12 and 13 November 2014.
The service is provided in a purpose built building that is set over two floors. The first floor is designated for people who require general nursing care and the ground floor is designated for people who are living with dementia. Care is led by registered nurses on both floors. The service requires there to be a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’ A new manager has been in post since April 2014 and is just going through the process of becoming registered with the CQC.
At our last inspection of the service on the 9 July 2014 we found the provider was not meeting the requirements of the law in a number of areas. We asked the provider to send us an action plan as to how they would rectify this and meet the requirements of law. We received an action plan from the provider. At this inspection we found the provider had met their action plan objectives and was no longer in breach of the law under the Health and Social Care Act 2008 [Regulated Activities] Regulations 2010.
People were cared for safely in a well maintained environment.
Staff had been recruited appropriately after appropriate checks were completed.
Records were regularly updated and staff were provided with the information they needed to meet people’s needs. People's care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We saw that there were policies, procedures and information available in relation to the MCA and DoLS to ensure that people who could not make decisions for themselves were protected.
People were relaxed in the company of each other and staff. Staff were attentive to people's needs and knew people well. Staff treated people with dignity and respect.
People who used the service were provided with the opportunity to participate in activities which interested them. These activities were diverse to meet people’s social needs.
The service worked well with other professionals to ensure that people's health needs were met. Where appropriate, support and guidance was sought from health care professionals, including a doctor, chiropodist and district nurse.
People could raise concerns or make a complaint to the care manager, complaints were resolved efficiently and quickly.
The service had a number of ways of gathering people’s views from holding meetings with staff, relatives and people to completing survey’s and talking to people individually.
The manager carried out a number of quality monitoring audits to ensure the service was running effectively and to drive improvements.