CQC report explained · a nursing home
What the CQC found at The Chase Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, safeguarding systems were in place, medicines were managed safely and infection control arrangements were effective.
- Effective?
- Good
- No separate rating was given in this inspection.
- Caring?
- Good
- No separate rating was given. People and relatives told inspectors they were happy with the care, and staff followed people's choices and decisions.
- Responsive?
- Good
- No separate rating was given in this inspection.
- Well-led?
- Good
- Inspectors found robust quality checks, an improvement plan and managers who listened to people, relatives and staff.
What inspectors found, September 2021
Rated Good; inspectors found safe care, effective infection control and strong management, with one concern about changing staff.
This was an unannounced inspection on 4 and 12 August 2021. Inspectors spoke with one person, 12 relatives and nine staff. They reviewed care records, medicines records, recruitment files, training information and quality checks.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found that people were protected from abuse, risks were assessed, medicines were managed safely and infection control arrangements were effective.
Inspectors found strong quality monitoring and a manager who was approachable and acted on concerns. One person said staff changed frequently and they were often supported by people they did not know. The overall rating stayed Good, as it had been at the previous inspection published in October 2019.
Risks were managed
People's health and safety risks were identified, reviewed and supported by clear guidance for staff.
“When risks were identified, clear guidance was in place for staff on how to reduce the harm to people and how to keep them safe.” from the report
Medicines were handled safely
Inspectors found that medicines were stored, given and recorded safely. Staff were trained and checks were carried out.
“Medicines were managed safely. We found people's medicines were received, stored, administered and disposed of safely and their medicine administration records (MAR) were completed.” from the report
Strong quality monitoring
The manager used surveys, meetings, audits and outside feedback to monitor the home and plan improvements.
“Quality assurance processes were robust. The registered manager used a variety of tools to monitor and improve the service.” from the report
Infection control
Inspectors were assured that the home used protective equipment safely, supported testing and managed visits in line with current guidance.
“We were assured that the provider was using PPE effectively and safely.” from the report
Changing staff
minorOne person said they were often supported by staff they did not know and that staff members changed frequently. Relatives gave more positive feedback about staffing levels.
“One person told us they were unhappy with the staffing, were frequently supported by staff they did not know, and staff members were always changing.” from the report
- 01How will you keep staffing consistent for my relative, and how often will unfamiliar staff support them?
- 02How will you assess and review my relative's risks, including risks relating to mobility, skin or diet?
- 03How will you make sure my relative's medicines are correct, given and recorded safely?
- 04How would you support my relative's specific nursing, dementia, mental health or acquired brain injury needs?
- 05How can relatives share concerns and receive updates about care and improvements?
This was an unannounced focused inspection of Safe and Well-led, including infection prevention and control; the report does not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 9 September 2021 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, March 2021
The Chase Care Centre was inspected but not rated; inspectors found strong infection controls but concerns about mask use and access to PPE.
This was an unannounced, targeted inspection on 10 February 2021. It focused on infection prevention and control during a COVID-19 outbreak, rather than assessing the full service.
Inspectors found that visitors were screened and given PPE and guidance. People and staff were taking part in regular testing, and the home had infection control policies, daily checks and audits.
There were two problems. Two staff members were not wearing face masks correctly, and PPE was not readily available within the home. The home took action to increase PPE availability after the inspection. The service was inspected but not rated, so this report does not provide a full quality rating.
Visitor infection controls
Visitors were screened on arrival, given guidance and PPE, and had their temperature checked. A separate visitors' pod had also been provided for screened visits.
“The service was receiving professional visitors to the service with robust infection control procedures in place.” from the report
Regular testing
People and staff took part in routine testing. The home kept a detailed record of test results.
“People and staff had engaged with the routine testing scheme.” from the report
Monitoring and outbreak planning
Senior staff carried out daily checks, infection control audits and PPE competency checks. The home also had policies for responding to the pandemic.
“The registered manager and senior staff completed daily checks and 'walkarounds' of the service, alongside regular infection prevention and control audits and PPE competency checks for staff.” from the report
Masks not worn correctly
needs fixingInspectors saw two staff members wearing face masks incorrectly. The home said it would address this immediately.
“We observed two members of staff who were not wearing face masks correctly.” from the report
PPE access
needs fixingPPE was available through one access point on each unit, including units with up to 20 bedrooms. Inspectors raised this, and changes were made after the visit.
“In addition, we found that PPE was not readily available within the service.” from the report
- 01How do you now check that all staff wear face masks correctly?
- 02Where is PPE kept on each unit, and can staff get it quickly when they need it?
- 03What changes were made after the inspection to improve PPE availability?
- 04How are visits arranged now that visits had been suspended during the COVID-19 outbreak?
- 05How are infection control audits and daily checks recorded and followed up?
This was a targeted inspection of infection prevention and control during a COVID-19 outbreak; it did not rate the full service or assess the other four key questions. This explanation was written from the published report of 4 March 2021 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 The Chase Care Centre
5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- September 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- January 2020Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2018Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate
- July 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- February 2016
Registered with the Care Quality Commission on 26 February 2016.
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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