We carried out a review of the data available to us about The Old Chapel Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Old Chapel Care Home, you can give feedback on this service.
The Old Chapel is a residential care home providing personal and nursing care to 15 people aged 65 and over at the time of the inspection. The service can support up to 15 people. The Old Chapel provides modern accessible accommodation in a converted old chapel. Bedrooms are en-suite with fully accessible facilities to maximise the independence of people with disabilities associated with getting older. The home is set over two floors; communal areas are on the ground floor and bedrooms on both floors.
People’s experience of using this service and what we found
People and their relatives spoke very highly about the care they received at the home describing the service as outstanding and excellent. They told us the staffing ratio to people was good and they did not have to wait for care to be provided.
People were supported by staff who received appropriate training and support to carry out their roles and responsibilities. Staff were knowledgeable about people, and how best to support them and there was a really positive atmosphere in the home.
Staff told us they were supported by a registered manager who was approachable and encouraged them to provide excellent care by working with them and sharing their knowledge. People and their relatives repeatedly told us how well-led the service was which meant they had total confidence their relations were safe living at the home.
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.
Meals were freshly prepared and to people’s preferences and they had input into the menus to ensure they were to their liking. People were regularly offered a drink at a time of their choosing to ensure they remained hydrated.
Staff had been recruited safely and all the necessary checks had been carried out. The registered manager was working hard to continuously improve the service by completing checks and audits. They had a vision for the service “to provide high quality care and make sure everyone is happy and live a fulfilling life.” This was shared by all staff who strived to ensure people received personalised care and were happy at the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was requires improvement (published 16 January 2019)
Enforcement
Since the last inspection we recognised that the provider had failed to display their ratings. This was a breach of regulation and we issued a fixed penalty notice. The provider accepted a fixed penalty and paid this in full.
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.
The Old Chapel Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The Old Chapel Care Home can accommodate up to 15 people who require accommodation and personal care. The home is set over two floors; communal areas are on the ground floor and bedrooms on both floors. It is located in the village of Haigh, which is situated half in the district of Wakefield and half in the district of Barnsley. At the time of our inspection there were 15 people living in the home.
There was a registered manager employed at The Old Chapel Care Home. A registered manager is a person who has registered with the CQC 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 told us they felt safe. Staff understood how to safeguard people from abuse in the home which included reporting any concerns.
We observed staff interacting and supporting people who used the service to move around the home safely. Systems were in place to identify risk but there was a limited use of records to show risk was being appropriately managed. People had care plans but these did not always cover all aspects of their care needs. The registered manager acknowledged their recording and documentation systems needed to be further developed and said this was a priority area for improvement.
Staffing arrangements ensured people were safe. People told us staff were available to assist them when they needed support and we observed and call bells were answered promptly. Staff received training and day to day support to help them understand how to do their job well but formal supervision was not provided on a regular basis.
The provider had systems in place to manage people’s medicines. Medicine administration records were well-completed and checks had been carried out to make sure that medicines were given and recorded correctly. Guidance was in place for administering most medicines but not for those medicines that were prescribed ‘as and when required’. The registered manager agreed to ensure protocols were in place where required.
People lived in a clean, pleasant, safe and well-maintained environment, and were comfortable in their surroundings. Everyone had en-suite facilities and were encouraged to personalise their room.
People told us they liked living at The Old Chapel Care Home and said they were being looked after very well. They were complimentary about the staff. Staff were kind and caring in their approach; we observed they chatted to people and asked them how they were feeling. People were at ease with staff and the registered manager, and told us they were comfortable raising concerns. Visitors were made to feel welcome.
People nutritional and health needs were met, and they had opportunity to engage in a range of activities. 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.
The registered manager was visible and spent time working alongside people who used the service and staff. Everyone was encouraged to share their views and put forward suggestions. The provider had some audits in place but these did not effectively identify areas for improvement. The registered manager said in the first year they had focused on developing an environment that was caring and a culture of fairness and transparency, and were now focusing on the quality management systems.