Champion House - Care Home with Nursing Physical Disabilities

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

At our last inspection we rated this key question good. At this assessment the rating has changed to requires improvement. We reviewed 2 quality statements in this assessment. People's needs were not always assessed or reviewed effectively. Processes were not always followed to make sure people understood their right to consent to their care and support.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We found people's needs were not always assessed or reviewed effectively, or in a timely manner. The provider had an admissions policy, which clearly outlined the procedures to be followed. However, when we reviewed documentation relating to the most recent admission to the home, we found these procedures had not been followed and the person’s needs had not been adequately assessed or recorded. We found that the person’s skin deteriorated shortly after their admission, and they were subject to restrictions through the use of bed rails, which had not been properly assessed.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We received mixed feedback from people about how staff included them in decisions about their care and treatment. One person told us about the action staff had taken, to make them aware of the need for treatment, which gave them the information they needed to give their consent. However, another person told us they did not feel included in any decisions about their care and there was no evidence in their care records to show how staff had involved them.

The interim manager discussed with us improvements they planned to make to ensure staff provided people with full information when supporting them, to make decisions about their care and treatment. The interim manager discussed a recent event where a person had refused an aspect of care which had resulted in them requiring hospital treatment. While in hospital the person was shown photographs of their skin damage. The person told us they had not understood their care refusal could have resulted in this injury and had they known they would not have refused this care. The person said they would now work with staff to ensure they were regularly repositioned.

Processes were not always followed to make sure people understood their right to consent to their care and support. We found care records did not always contain information about whether people had capacity and where it was identified that they did not have capacity, best interest decisions had not always been recorded.