Chadderton Total Care

This summary provides an overview of the recent CQC inspection report for Chadderton Total Care Unit. The inspection assessed the home's performance across five key areas: safety, effectiveness, care, responsiveness, and leadership. While the home has made positive strides in some areas, particularly in ensuring people feel safe and are treated with dignity, areas for development have been identified, specifically concerning medication management, record-keeping, and consistency in certain care processes.

Regarding safety, residents generally feel secure, and relatives have confidence in the care provided. The home is clean, and infection control measures are effective. However, improvements are needed in the secure storage and administration of medicines, with some doses being missed and record-keeping not always being up-to-date. While staff are trained in safeguarding, the reliance on agency staff sometimes raises concerns about consistency in their competency.

In terms of how effective the care is, staff receive adequate training, and there are systems in place to monitor their development. However, the quality of meals receives mixed feedback, and there's a need for more detailed recording of food and fluid intake, along with clearer guidance for staff on monitoring and intervention. While personal and oral care records can be inconsistent, residents’ healthcare needs are generally met promptly with appropriate professional referrals.

When assessing the caring aspect, residents are supported to have maximum choice and control over their lives, with staff acting in their best interests and using the least restrictive methods. Care plans, especially newly introduced ones, are becoming more detailed in explaining residents' needs and preferences. An activities programme is in place to meet social and recreational needs.

The service is responsive in ensuring residents' individual needs are met and that they are supported to live fulfilling lives. Residents and their families are aware of the complaints process and feel comfortable raising concerns, which are then addressed according to policy. While formal resident and relative meetings haven't been consistently held, views are sought through surveys.

In terms of leadership, the home is moving towards more detailed and person-centred care planning. While the core principles of the Mental Capacity Act are followed, and Deprivation of Liberty Safeguards are managed well, there are ongoing improvements required in the overall audit and governance processes to ensure consistent and high-quality care delivery across all units.