Background to this inspection
Updated
12 February 2021
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
One inspector carried out this inspection.
Service and service type
Chichester Court 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
We gave short notice of the inspection because we needed to be sure it was safe for us to visit the service.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with three people who used the service. We spoke with six members of staff including the regional manager, registered manager, a nurse, care workers and a domestic staff member. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records were reviewed relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at additional information including training data and quality assurance records.
Updated
12 February 2021
About the service
Chichester Court is a residential care home providing personal and nursing care to 24 people aged 65 and over at the time of the inspection. The service can support up to 50 people.
People’s experience of using this service and what we found
Following the recent Covid-19 outbreak the provider had developed a robust action plan to strengthen the infection prevention and control (IPC) practices in the home. Staff complied with the requirements to wear protective personal equipment (PPE) and regularly washed their hands. The home was clean and tidy.
Care plans had been updated and transferred onto the provider’s care planning paperwork, so they reflected people’s current needs. We advised how additional information about interventions required to meet people’s specific needs and preferences was needed. Fluid charts were not always fully completed to confirm people had enough to drink and daily fluid targets were not always set for different people.
People told us they were happy and safe. They said staff were kind and supported them to promote their independence.
Staff knew about the safeguarding and whistle blowing procedures and were confident about speaking up. Sufficient staff were on duty to meet people’s individual needs and new staff were recruited safely.
Medicines were being managed safely. Risk assessments were carried out where required and incidents and accidents investigated.
Staff were well supported and received the training they needed.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 13/05/2020 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 12 July 2019.
Why we inspected
The inspection was prompted due to serious concerns about people's health and wellbeing following an outbreak of coronavirus. We conducted the inspection to ensure the Infection Prevention and Control practices were safe and the service was compliant with IPC measures. This was a planned comprehensive inspection as the service had not been rated since this provider took over the service.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the responsive and well-led sections of this full report.
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.