Chipstead Lake - Care Home Physical Disabilities

Updated 9 July 2024

Date of assessment: 5 September to 30 September 2024 We completed this assessment following concerns being raised about risk management and the culture within the service. We found 3 breaches of regulations in relation to safe care and treatment, governance and the need for consent. Potential risks to people’s health and welfare had not been consistently assessed, reviewed and updated. Staff did not always have clear guidance about how to support people safely and mitigate identified risk. Staff had not consistently recorded assessments of people’s capacity and decisions made on their behalf following best practice guidance. Governance systems and audits were not effective in identifying or addressing areas for improvement. Some people living at the service had a learning disability. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. However, there were enough staff to ensure people’s safety and meet their needs. Staff knew people well and supported people according to their preferences and choices. People were supported to have choice and control and give feedback on their care.

Updated 9 July 2024

People's experience of living at the service was varied, depending on their needs and capabilities. Some people commented, they had not always felt listened to and staff were not always respectful, by talking over them or talking in their own language. People had not always been supported to set achievable goals, when there were records, these were not completed accurately or showed if the goals had been achieved. Staff had not followed the Mental Capacity Act 2005, when recording how they assessed people’s capacity and completed best interest decisions. When people moved from another service their needs had not been assessed to check if staff could meet their needs. Staff had not acted to check if processes in place when people were admitted, such as how people received their medicines, were still appropriate. People told us their choices and preferences were supported by staff. There were systems in place for people to move around the service and if assessed as safe, leave the building independently. People were supported to attend medical appointments and had regular contact with their GP and district nurse.