CQC report explained · a nursing home
What the CQC found at Churchill House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, regular risk reviews, safe recruitment and medicines given as prescribed.
- Effective?
- Good
- Staff had the training and knowledge to meet people's needs. People's dietary, healthcare and capacity needs were assessed and supported, although the dining experience varied around the home.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People and relatives were involved in care decisions and staff supported independence where possible.
- Responsive?
- Good
- Care was personalised and responded to changing needs. People had activities, accessible information, visiting arrangements and a complaints process.
- Well-led?
- Good
- The home had quality checks, staff meetings and opportunities for people and families to give feedback. Staff understood their roles and said they were well supported.
What inspectors found, January 2020
Churchill House Nursing and Residential Home was rated Good; inspectors found safe, kind and personalised care, but dining was less social upstairs.
This was an unannounced planned inspection. Two inspectors spoke with people living at the home, relatives, staff and a health professional. They reviewed care files, a staff file and other records, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines procedures, personalised care and good support from trained staff.
People were treated with kindness and respect. Their care was planned around their needs and wishes. They had access to activities, healthcare and support to maintain relationships.
The inspection found that the dining experience was better in some parts of the home than others. Upstairs, meals were less social, there were fewer choices and tables were not laid. The overall rating fell from Outstanding at the last inspection to Good.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs promptly. Medicines were stored and given safely by trained staff.
“There were enough staff on duty to meet people's needs in a timely manner.” from the report
Personalised care
Care plans recorded people's needs and preferences. Staff knew important personal details and involved relatives in planning care.
“People received care that was personalised to their needs.” from the report
Kind and respectful staff
Staff were attentive, reassuring and respectful. People were involved in decisions and supported to keep their dignity and independence.
“People were treated with kindness, compassion and respect.” from the report
Activities and relationships
People enjoyed a range of activities and were supported to maintain friendships and family relationships. Visitors were welcomed without restrictions.
“People had access to, and enjoyed, a range of activities both within the home and in the local community.” from the report
Good healthcare links
Staff worked with health and social care professionals. Inspectors found that changing health needs, pain and risks such as falls were acted on.
“Staff worked in partnership with health and social care professionals to ensure consistency and ensure people received appropriate and safe support.” from the report
Uneven dining experience
needs fixingThe upstairs dining experience was less social and offered fewer choices. Tables were not laid, and food waste was visible in a communal area, making the setting less appealing.
“Upstairs, the meal time was not a social occasion and although people received what they needed there were fewer options available for people” from the report
- 01What changes have been made to improve the upstairs dining experience since the inspection?
- 02How will people upstairs be offered a choice of where to eat and more social contact at mealtimes?
- 03How are care plans updated when a person's needs or preferences change?
- 04How are families involved in decisions about care, including end of life care?
- 05How do you check that staffing levels remain sufficient for people's needs on every floor?
This was an unannounced planned inspection covering all five key questions and both the premises and care provided; the previous inspection was published on 30 May 2017. This explanation was written from the published report of 10 January 2020 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, May 2017
Rated Outstanding; inspectors found exceptional care, with safe and responsive support and a few minor areas to improve.
The inspection was unannounced and took place on 26 January 2017. Inspectors spoke with seven people living in the home, three relatives and nine staff. They reviewed care records, staff records, audits and other documents, and observed care.
The home was rated Outstanding overall. Effective care and caring were rated Outstanding. Safe, responsive and well-led were rated Good. Inspectors found kind staff, detailed care plans, good training, safe medicines and strong support for people's choices, health and end-of-life care.
Inspectors also found some smaller areas for improvement. Dementia-friendly signs and displays were limited in one area. The complaints information needed updating so it included details of other authorities people could complain to.
Kind and respectful care
Staff knew people well and supported them as individuals. Inspectors saw warmth, affection and respect in everyday care.
“All staff were seen to interact with people in a kind and compassionate manner and it was evident they knew people well.” from the report
End-of-life support
The home provided highly personalised support for people nearing the end of their lives and for their families. Staff also offered bereavement information and support.
“The home provided an exceptional standard of care to people with palliative and end of life care needs.” from the report
Well-trained staff
Staff received induction training, ongoing training, supervision and appraisals. Specialist staff champions helped share good practice in areas such as dementia, falls and end-of-life care.
“It was evident the provider placed great emphasis upon staff training which meant people benefitted from receiving care from knowledgeable, competent staff.” from the report
Individual care and choice
Care plans included people's histories, preferences and needs. Staff encouraged people to make choices and supported them to remain as independent as possible.
“People were provided with an exceptional and distinctive service that met their individual needs.” from the report
Strong quality checks
The home used regular audits and action plans to check safety and quality. It followed up planned improvements and used feedback from people and relatives.
“The service had a robust programme of audits in place to monitor the quality and safety of the service.” from the report
Limited dementia-friendly displays
minorInspectors saw limited visual displays and dementia-friendly signs in part of the dementia care unit. The manager had already identified this as an area for improvement.
“We saw that on the dementia care unit there were limited visual displays on the walls.” from the report
Complaints information needed updating
needs fixingThe complaints leaflets did not give people details of other authorities they could complain to. The manager agreed that this information needed updating.
“The registered manager agreed that these required updating to give people details of other authorities people could complain to.” from the report
- 01What dementia-friendly signs and displays are now available in the area identified by inspectors?
- 02Has the complaints information been updated to include details of other authorities people can contact?
- 03How will you make sure my relative's care plan continues to reflect their history, preferences and changing needs?
- 04What activities and community visits would be suitable for my relative, and how would you support them to take part?
- 05How would you support my relative and our family if they needed end-of-life care?
This was an unannounced inspection covering all five CQC questions and the overall quality of the home, including care, staffing, records, medicines, audits and people's experiences. This explanation was written from the published report of 27 May 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 Churchill House Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- January 2020Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 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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