Church House Care Home

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. However, records relating to this in some cases needed a more prompt review if there had been changes.

We have made a recommendation for the provider to review the process for keeping MCA assessments and decisions under review, to ensure any changes are responded to promptly.

Overall, there were enough staff support people safely and the provider was keeping this under review. New staff had been recruited and the use of agency staff had reduced since the last inspection. The provider had paused new admissions until they were fully staffed. Staff had been recruited safely.

Risk assessments were undertaken, and staff took action to minimise risks. However, we saw an example where a person's risk assessment was not reflective of their needs. Some care plans would benefit from further updates and person-centred detail. The provider had identified this, and action was being taken.

People told us they felt safe at Church House. Staff had been trained and understood their responsibility to report any safeguarding concerns. There was a welcoming and friendly atmosphere at the home. People's medicines were managed safely.

The home was clean and well maintained. Fire safety measures were in place. Some checks were in progress following the appointment of a new maintenance operative. There was an up-to-date Infection prevention and control (IPC) policy in place and managers undertook regular IPC audits.

There was a new manager in post. People living at the home and staff were familiar with him and positive about the overall management. Despite management changes staff told us they were a good staff team and felt supported.

People and relatives were regularly asked for feedback. The culture of the home promoted positive outcomes for people and the new manager was further focusing on engagement with people.

Governance and oversight had improved. This included various audits and checks. A recent in-depth audit had been carried out and a detailed home improvement plan was being actioned.

Staff worked in partnership with various health professionals to improve people's care and outcomes.