Chesham Bois Manor

Chesham Bois Manor accommodates people across three units, with two of the units providing care to people living with dementia. The service has a mix of bedrooms with en-suite facilities and other bedrooms where people access the communal bath/ shower facilities. Each unit has its own communal lounge and dining area. The service is set in well-maintained grounds with a secure outside area for people to access.

Relatives told us they were happy with their family members care and that most people had good access to health care professionals. They felt the service had improved with regular better trained staff. They commented "[Managers name] and their team are doing a superb job and you can tell they really do care with everything they do," "Care is good and attentive. There is attention to detail," and "Family member has lived in this home for some time now. I think that the home is looking after them well and I think things have been improving. The staff seem happier and are all pulling together better."

A number of relatives felt communication with them and activities available to their family member needed to improve. A second engagement lead had recently been appointed with the aim to develop activities.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The provider had been proactive in recruiting staff to provide consistent care to people. Staffing levels had improved and were sufficient, with agency use decreased. Staff told us the training provided had improved, however key training was overdue and competency assessments were incomplete and others unavailable.

Auditing and monitoring of the service was taking place which showed the provider had identified, shortfalls in the service provided. Improvements had been made to records, however further improvements were required to ensure records were accessible, accurate and suitably maintained.

Most risks to people were identified and mitigated, with staff aware of people's risks and how to support them. Where risks were not mitigated this was immediately addressed. Safe medicine practices were promoted.

Systems were in place to safeguard people with evidence of learning from incidents to prevent reoccurrence and safeguard people.

People's nutritional and hydration needs were identified, monitored and action taken where records did not evidence people had the required food and fluid.

The manager had been proactive in making improvements to the service, which included creating a more positive culture which promoted positive outcomes for people.