Churchview Nursing and Residential Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people were safe and protected from avoidable harm.

This service scored 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. Accidents and incidents were recorded, monitored and analysed to reduce the risk of reoccurrence, such as implementing falls equipment. The provider identified trends or lessons learned and communicated those with staff.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. Staff supported people to complete and maintain care passports. These were to share crucial information with other services, such as hospitals, in the event of a person being transferred. Care passports contained details around people’s care and support needs, as well as things that were important to them and how best to support them. They were regularly reviewed to ensure they remained up to date.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately. Staff supported people to keep them safe. A person told us, “I feel safe, everything is fine - I don’t have accidents.” Staff knew people well, had completed appropriate training and were aware of how to report any safeguarding issues or concerns.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. A person told us, “(Staff) took my rugs away because it’s a risk when I use my walker so my room is safe.” Staff assessed and managed risks to people’s health, safety and wellbeing effectively. People’s care records contained detailed risk assessments which supported staff to meet people’s needs whilst minimising the risks.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. During site visits a hot locker was left unsupervised in a corridor and a kettle left in a dining area, both of which were hot to the touch. We raised this with the manger and provider who took immediate action to have the items removed and discussed with staff involved about the importance of safety measures and practices. There were environmental risk assessments in place including fire, and regular checks and testing of the premises and equipment.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. People felt there were enough staff to meet their needs and keep them safe. A person told us, “Staff come quickly when I buzz.” The provider determined staffing levels in line with people’s individual support needs. Staff were recruited in a safe way. The provider had an effective recruitment and selection policy and procedure which included all appropriate checks.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff followed the required infection control guidelines and wore appropriate PPE when supporting people.The home was fresh, clean and tidy. A person told us, “The girls (staff) clean my room every day.”

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened. Staff had received up to date medicines training and regularly had their competence assessed. Regular medicine checks and audits were carried out to identify any errors and take appropriate action. A staff member told us, “If we see a gap (in records), we work well together so we deal with it straight away.”