Chaseways

Updated 24 March 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.

This was a targeted inspection to check on a specific concern we had about how the provider ensured that people’s basic human rights were at the centre of their care.

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

The inspection team consisted of one inspector.

Service and service type

Chaseways 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

This inspection was unannounced.

What we did before the 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. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service about their experience of the care provided. We spoke with three members of care staff. We reviewed a range of records. This included people’s care records, surveys and training records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 24 March 2021

About the service

Chaseways is a residential care home providing personal and nursing care to up to six people. At the time of the inspection five people were living at Chaseways.

The building consists of three ground floor flats which consist of two bedrooms and en-suites, two lounges and one kitchen. Each flat has access to their own garden. There is an office on the ground floor and second floor.

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

People had risk assessments in place which identified their support needs. There had been significant changes and improvements when supporting people with the less restrictive measures. Although there were still some restrictive measures in place this was something the management team were reviewing.

The services infection prevention control measures were in place and we were assured the provider had implemented systems and processes to provide safe care during the pandemic.

Where safeguarding issues had been identified these were addressed and the management team were open and willing to make changes and share lessons learnt.

There had been changes to the management structure and the staff team. Overall, there was positive feedback regarding this change. Professionals feedback was positive and recognised the changes to people’s support.

People were mostly supported to have 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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

The model of care and setting was starting to develop support that offered choice and control of the person’s life. There was still some restrictive practice and decisions were historic that the service took on which had remained in place. When speaking to the manager they had recognised these practices and were working with health professionals to ensure all potential risks were looked at and a best interest decision made.

The support people received was person-centred and staff understood people’s individual support needs.

There was a dedication from leaders and staff to make sure people were receiving good care. There had been a change in leadership which meant that positive changes had been made towards shaping the service to be person centred. Although the service had made great improvements it was recognised that there was further development to be achieved. The manager had clear action plans with how they were going to continue to improve the service.

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 Inadequate (published July 2020) and there were multiple 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 regulations.

This service has been in Special Measures since July 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an unannounced focused inspection of this service on January 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding service users from abuse and improper treatment, The nutritional needs of people was not met due to a lack of food available to sustain good, Good governance and Duty of Candour

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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Inadequate to Requires Improvement. This is based on the findings at this inspection.

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 coronavirus and other infection outbreaks effectively.

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

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.