Chapel House Care Centre

Updated 29 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 completed by one inspector and one 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.

Service and service type

Chapel House care centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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.

What we did before the inspection

Before this inspection, we reviewed the information we already held about the service. This included notifications sent to us by the provider. Notifications are information about specific incidents the service is required to tell us about.

We used the information the provider sent us in the 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.

During the inspection

During the inspection, we spoke with seven people who used the service and nine relatives about their experience of care provided. We spoke with four visiting professionals about their experience of working with the service. We spoke with nine members of staff, this included care staff, nurses, activities co-ordinator, operations manager, operations director and the registered manager.

We reviewed a range of records; this included four care plans and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. We reviewed a variety of records relation to the management of the service.

Updated 29 January 2020

About the service

Chapel House Care Centre is a residential care home providing personal and nursing care to 40 people aged 65 and over at the time of the inspection. The service can support up to 41 people in one adapted building. The service had 6 IAT (Integrated Access Team) beds. These were beds that were used as an intermediary for people between hospital and home.

People’s experience of using this service and what we found

People and their relatives told us the service was safe. People were cared for by staff who were recruited and trained safely. There were systems in place to protect people from abuse and staff were confident in reporting any concerns. Risks were identified and assessed, there were management plans in place to reduce the risk to people. Accidents and Incidents were recorded and reviewed to identify any further risk.

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.

People were supported by staff who knew them well and treated them with respect. People were supported to express their views and be as independent as possible.

People’s care plans were personal to them and considered peoples individual cultural and religious needs. The service had good links with the local community and people were supported to maintain meaningful relationships with others who were important to them.

The service was well led. There was a registered manager at the home who maintained oversight and had effective quality assurances systems in place. The registered manager was supported in their role by the operations team who visited regularly. People and staff had regular meetings to discuss their views, if needed, actions were identified and acted on.

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 28 April 2018).

Why we inspected

The inspection was prompted in part due to concerns received about low staffing levels and lack of support for people to maintain their personal care. A decision was made for us to inspect and examine those risks.

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.