Chrissian Residential Home Limited

Updated 22 November 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by an inspector.

Service and service type

Chrissian Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us.

Chrissian Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection a registered manager was in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the Local Authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We visited the service on 31 October 2022 and gave feedback on 14 November 2022. We spoke with six people who lived at Chrissian Residential Home to seek their reviews of their care and support. Not everyone who used the service were unable to tell us about their experience of receiving the service, so observations of care and support were also made

We spoke with the registered manager, a senior carer, three care staff and a housekeeper, the provider’s nominated individual and an external trainer for the home. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We observed people's care to help us understand the experience of people who could not talk with us. We reviewed a range of records. This included three people's care records and medication records. We looked at a variety of records relating to medicines management, infection control, health and safety, staff recruitment and management of the home.

Following our visit, we spoke with one relative and received electronic feedback from three members of staff, four relatives and two health and social care professionals involved with the home. We reviewed records relating to the governance and management of the service including audits.

Updated 22 November 2022

About the service

Chrissian Residential Home is a residential care home providing personal care to up to 22 people. The service provides support mostly to older people, some living with dementia. The service is provided in one adapted building over two floors. At the time of our inspection there were 22 people using the service.

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

We found concerns at our last inspection and rated the home requires improvement in two key questions and overall. We also found breaches of the Health and Social Act 2008 (Regulated Activities) Regulations 2014.

At this inspection we found that the provider had taken action to mitigate the risks to the health, safety and welfare of people living in the home. We were encouraged by the progress made and the provider was no longer in breach of the regulations. Improvements had been made and were ongoing to ensure the premises and equipment were maintained in a safe, comfortable and clean condition.

A new registered manager had been appointed and they worked closely with the provider. Both were visible in the home and effective governance systems to monitor and assess the quality and safety of the home were evident. This provided the oversight needed to drive improvement and support the continual development of the home.

People told us they felt safe and we observed they were comfortable and at ease in the company of the staff that cared for them. There were enough staff, safely recruited with the knowledge and skills to meet people’s needs and morale was good.

Risks to people were regularly monitored and assessed with appropriate management plans in place to mitigate. This included timely referrals to healthcare services. Processes were in place to learn lessons when things had gone wrong with actions taken to reduce future incidents happening.

Staff had received appropriate training to protect people from harm and followed the provider’s safeguarding policies and processes. Safe management of medicines was in place and the home was clean and hygienic with good infection control procedures carried out.

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 and update

The last rating for this service was requires improvement (published 1 July 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chrissian Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.