Chase Park Neuro Centre

The assessment was completed to follow up on the action we told the provider to take at the previous assessment and to confirm they now met legal requirements relating to breaches of Regulations 12 (safe care and treatment) and 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this assessment, we found the provider and management team had made significant improvements in addressing the areas of concern identified at the last assessment and was no longer in breach of legal requirements.

Governance systems and processes had been strengthened, which provided greater assurance that risks were identified, monitored and mitigated. Improved quality monitoring arrangements were fully embedded and supported the safety and quality of care delivered.

The provider and management team demonstrated a strong commitment to continuous improvement, working together to enhance service quality and promote a culture of learning and development.

The management of medicines had improved through the introduction of more robust procedures and oversight. A clinical lead ensured arrangements to support the safe administration of medicines were consistently followed. People received their medicines and treatments in accordance with their needs, capacities and preferences.

This assessment found that progress had been made in developing care plans. Care plans and risk assessments contained high-quality, detailed information that was tailored to each person. They clearly reflected people's needs, preferences, life history, personality, and what matters most to them.

The provider continued to use a dependency tool to assess and calculate staffing levels within the service. Since the previous assessment, significant improvements had been made, including an increase in staffing levels and a reduction in the use of agency staff. People, staff, and relatives reported a noticeable improvement in the availability of staff and the overall quality of support provided.

Staff were positive about the staffing changes. They said that strong teamwork and good communication helped the service run more effectively and had a positive impact across all areas. They told us they felt better supported by the management team and more confident in raising concerns, sharing ideas, and contributing to service improvements.

The safety of the premises and infection prevention and control practices were consistently monitored and maintained to ensure a safe environment for people receiving care.