The Chase Rest Home

Although it was apparent a number of areas had improved, further work was still required to embed changes and develop the service to ensure all regulations were met.

The provider had not maintained appropriate oversight and governance to ensure all areas of the day to day running of the home and health and safety was being monitored effectively. Some issues found at the last inspection had not been addressed. Governance needed to be improved to ensure maintenance was identified and carried out in a timely manner.

Infection prevention and control (IPC) measures needed to be improved, we observed staff not using Personal Protective Equipment (PPE) or handwashing effectively to prevent the risk of infection. Cleaning schedules were not being consistently completed and some areas of the home required further cleaning.

Recruitment records were not robust. Further information was required to ensure that references were accurate and dates of previous employment were correct. Information about staff's working restrictions needed to be explored and recorded.

A lot of work had been completed to improve documentation. However, care plans and risk assessments needed further improvements to ensure information about people's health needs were person centred and up to date.

Staff were aware of safeguarding procedures. Accidents and incidents were reported appropriately, and documentation was completed to ensure a robust process was in place following any accidents or incidents.

New staff completed an induction and were supported during their probationary period. Staff received training and support. Staff meetings had been carried out and staff had one to one and group supervision.

People were involved in choices and decisions and supported to be as independent as possible. People were supported to have maximum 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.

People's nutritional needs were assessed and managed. Referrals were made to other agencies to support people's mental and physical health. The manager and staff worked with health professionals to ensure people received the support they needed.

Staff were kind and caring. Activities were provided for people and they were supported to spend their time how they chose.