Updated 10 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Chiltern View Care home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
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:
The inspection was unannounced; this meant that the staff and provider did not know we were visiting. The inspection was carried out on the 13 and 15 March 2019.
What we did:
¿Prior to the inspection we requested and received a Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well and improvements they plan to make. This information helps support our inspections. Throughout the inspection we gave the provider and registered manager opportunities to tell us what improvements they had planned. We have used the information shared in our judgement.
¿We reviewed notifications and any other information we had received since the last inspection. A notification is information about important events which the service is required to send us by law.
¿Prior to the inspection we sought feedback from the local authority safeguarding and contract monitoring team.
¿When at the care home with spoke with two people who lived there.
¿Some people were unable to tell us about their experiences of living at Chiltern View because of communication difficulties. We therefore 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.
¿While at the care home we spoke with the registered manager and operational manager.
¿We spoke with six care staff.
¿We looked at three peoples care records and one further persons’ daily records.
¿We observed three people being supported by staff with their prescribed medicines.
¿We checked three peoples medicine records.
¿We checked the storage and safety of medicine management.
¿We made general observations of the environment and looked at records relating to management of environmental risk.
¿We look at recruitment and training records for three staff.
¿We looked at other records relating to the management of the service, which included quality audits, accidents and incidents.
¿Following the inspection, we sought feedback from relatives and staff.