Chaseview Nursing Home

Updated 28 August 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.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. 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.

This inspection took place on 17 August 2020 and was announced. 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.

Updated 28 August 2020

Chaseview Nursing Home 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.

Chaseview Nursing Home accommodates 60 older people some of whom were living with dementia. The provider also provided nursing care. On the days of our inspection 56 people were living in the home. The home is situated on two floors and was accessible to wheelchair users.

This inspection was unannounced and took place on 14 and 18 September 2018.

We completed a previous inspection of this home in May 2017 which we published in July 2017. The provider was rated Requires Improvement overall and was in breach of Regulation 12, Safe care and treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At that inspection we issued a Warning Notice to the provider. In response the provider sent us an action plan to tell us what they would do to improve the service and to comply with this regulation.

A focused inspection was carried out in September 2017, to find out if the provider had addressed the concerns identified at the previous inspection and that they had met the legal requirements. We looked at the key question ‘Safe’ because we had received concerns from members of the public about people’s safety. At this inspection we found that the provider had not taken sufficient action to comply with the breach of Regulation 12. The provider was also in breach of Regulation 13, Safeguarding service users from abuse and improper treatment and Regulation 17, Good governance.

Following the inspection in September 2017, the registered provider was issued a Notice of Decision to apply conditions to their registration. The registered person was required to ensure that they supervised the management of Chaseview Nursing Home and monitor compliance against the regulations. This included their duty to ensure that people received safe care and treatment and that they were protected from abuse and improper treatment. The registered person was required to ensure that quality improvements were implemented and sustained.

At this inspection we found that improvements had been made and that the provider was no longer in breach of the regulations.

Chaseview Nursing Home had a registered manager in place who was present throughout this inspection. 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.

People were safely supported with their medicines by competent staff members. People were confident that they would receive their medicines as prescribed and on time. There was guidance available to staff when supporting people with “when required” medicines.

People were safe from the risk of abuse and ill-treatment as staff knew how to recognise and respond to concerns. Any concerns raised with the registered manager were acted on appropriately. There were enough staff to support people to meet their needs in a timely manner.

New staff members received an introduction to their role and were equipped with the skills they needed to work with people. Staff members had access to on-going training to maintain their skills and to keep up to date with changes in adult social care. The provider followed safe recruitment procedures when employing new staff members.

People received care that was effective and personalised to their individual needs and preferences. 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 received support that was caring and respectful. People were supported by a staff team that was compassionate and engaging. People's privacy and dignity was respected by those providing assistance. People's individual preferences were known by staff members who supported them as they wished. People were supported at times of upset and distress.

People's human rights and protected characteristics, like faith and disability, were supported and promoted by those providing care and support for them. People received information in a way they found accessible.

People, and when needed family or advocates, contributed towards developing their own care and support plans. When changes occurred in people's personal and medical circumstances, care plans were reviewed to reflect these changes. People and their relatives were encouraged to raise any concerns or complaints. The provider had systems in place to address any issues raised with them.

People and relatives found the management team at Chaseview Nursing Home to be approachable and receptive. People's suggestions and comments were valued by the provider. Staff members believed their opinions and ideas were listened to by the provider and, if appropriate, implemented. The provider had systems in place to monitor the quality of service they provided and where necessary made changes to drive improvements. The provider learnt from incidents and accidents and worked in an open and transparent way.