CQC report explained · a residential care home
What the CQC found at Chamwood
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective risk assessments, safeguarding procedures, staffing and medicines systems. Some large containers of detergent and softener had not been stored appropriately, although the manager later confirmed they were locked away.
- Effective?
- Good
- People's physical, mental and social needs were assessed. Staff received relevant training, people were supported with food and healthcare, and the home was found to be working within the principles of the Mental Capacity Act.
- Caring?
- Good
- People described staff as kind and caring. Inspectors saw staff offering choices, respecting decisions, protecting privacy and dignity, and encouraging independence.
- Responsive?
- Good
- Care plans and risk assessments generally reflected people's needs and were reviewed regularly. Some people did not have an oral care plan, and the manager said this would be put in place.
- Well-led?
- Good
- Inspectors found an open, welcoming culture, supportive teamwork and regular audits and meetings. The manager sought views from people, relatives and staff and acted on issues raised.
What inspectors found, December 2019
Rated Good in all five areas; inspectors found safe, kind and personalised care, with a few minor records and cleanliness issues.
This was an unannounced inspection on 10 December 2019. Inspectors spoke with four people living at the home and three support workers. They reviewed care and medicines records, staff files and management records, and observed daily life and the building.
The home supported seven people, with space for up to eight. Inspectors found enough staff, safe medicines systems, suitable risk assessments and safeguarding arrangements. People were treated with kindness and respect, involved in decisions and supported to build independence, access healthcare and take part in community activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors identified some large cleaning product containers that were not stored appropriately, some kitchen areas needing cleaning and missing oral care plans for some people. The manager said these issues would be or had been addressed after the inspection.
Kind and respectful care
People said staff were kind and caring. Inspectors saw staff respect privacy, dignity and people's decisions.
“Staff respected people's privacy and dignity and spoke to people with understanding, warmth and respect.” from the report
Safe medicines
Inspectors found that medicines were given as prescribed, recorded properly and checked. Staff who gave medicines had training and competency checks.
“Medicines were managed safely at the service. People were receiving their medicines as prescribed.” from the report
Good leadership
The home had regular quality checks, staff meetings and systems for learning from incidents. People and staff said the home was managed well.
“The service had an open culture. Staff were committed to providing person-centred care and learning from any incidents.” from the report
Cleaning products
needs fixingSome large containers of washing detergent and softener were not stored appropriately during the inspection. The manager later confirmed they were being kept in a locked cupboard.
“We saw some large containers of washing detergent and softener had not been stored appropriately.” from the report
Kitchen cleaning
needs fixingSome kitchen areas needed cleaning, including parts of the range cooker and its vent. Staff were told about this and the manager later said cleaning had been arranged.
“We saw some areas within the kitchen needed cleaning. For example, the ovens in the range cooker and the cooker vent.” from the report
Oral care records
needs fixingSome people did not have an oral care plan in place. The manager told inspectors that plans would be added.
“We noted some people did not have an oral care plan in place.” from the report
- 01Have all residents who need one now got an up-to-date oral care plan?
- 02How do you check that cleaning products are locked away and cannot be accessed inappropriately?
- 03How do you make sure kitchen cleaning issues, including the range cooker and cooker vent, do not recur?
- 04How will you support my relative to make choices, develop independence and take part in community activities?
- 05How do you make sure staff understand my relative's individual risks, communication needs and care preferences?
This was an unannounced inspection covering all five CQC questions, including the care provided and the premises; the previous inspection had rated all five areas Good. This explanation was written from the published report of 25 December 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2017
Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
The inspection was unannounced. Inspectors spoke with four people living at the home, the manager, two staff and a visiting professional. They reviewed care records, staff files, training records, audits, surveys and incident records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine procedures, suitable training, support for health needs and respect for people's choices, privacy and dignity.
People were supported to take part in activities, use local services and build independence. Staff knew people's needs and preferences. The home had systems to check quality and respond to concerns.
At the previous inspection in April 2016, the home had breached two regulations relating to staff recruitment and staff supervision, training and appraisals. Inspectors found the required improvements had been made.
Kind and respectful staff
Inspectors saw staff treating people with patience and warmth. People were included in conversations and supported to make choices.
“The interactions observed between staff and people living at the home appeared patient and kind.” from the report
Safe medicines practice
Staff had medicine training and competency checks. The records inspected were complete, and controlled medicines were securely stored and checked.
“We checked three people's Medicine Administration Record (MAR) and found they had been fully completed.” from the report
Personalised support
Care plans included people's interests, preferences, communication needs and health information. Staff could explain how to support individuals.
“The plans contained information on people's life history, preferences and interests so these could be supported.” from the report
Activities and independence
People were supported to take part in activities inside and outside the home. These included shopping, meals out, baking and exercise.
“We found ranges of activities were provided, and these were based on people's individual interests.” from the report
Improvement since the last inspection
The previous inspection found problems with recruitment records and staff supervision, training and appraisals. Inspectors found these areas had improved and the breaches had been met.
“At this inspection we found improvements to the recruitment process.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are normally on duty during the day and overnight, and how would this change if someone needed extra support?
- 02How are medicine competency checks kept up to date for every staff member who gives medicines?
- 03How often will my relative's support plan and risk assessments be reviewed, and how will they be involved?
- 04How would you assess whether a new resident is compatible with the people already living here?
- 05How can my relative or our family raise a complaint, and how will we be told what action was taken?
This was an unannounced inspection covering all five CQC questions and the overall rating; the report gives two different inspection dates, 08 May and 09 May 2017. This explanation was written from the published report of 9 June 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Chamwood
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 25 February 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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