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Chestnut House

Overall: Good read more about inspection ratings

65a Friar Gate, Derby, DE1 1DJ (01332) 289933

Provided and run by:
Oaklands Support Limited

Latest inspection summary

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Background to this inspection

Updated 13 October 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Chestnut House provides care and support to people living in several 'supported living' settings so they can live as independently as possible. Peoples care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave a short period of notice so arrangements could be made for the inspector to visit the office location and work in a COVID-19 safe way.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We received feedback from the local authority. We used all this information to plan our inspection.

During the inspection

We spoke with four members of the management team. This included the registered manager, service manager, a quality assurance lead and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider

We reviewed a range of records. This included a variety of risk assessments and positive behaviour support plans for people using the service. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We spoke with four people who used the service and two people’s relatives about their experience of the care provided. We spoke with a further three members of staff and contacted two students from the local university who had recently completed a placement at the service. We continued to review records remotely. This included training data and quality assurance records.

Overall inspection

Good

Updated 13 October 2021

About the service

Chestnut House is a supported living service for people living with a range of care needs, including mental health and learning disability needs. It operates two shared houses where people have access to their own flat and share communal areas. Other people were supported in individual homes. The service was supporting 27 people at the time of the inspection.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

People were supported by staff who understood their role in protecting them from the risk of harm. People were supported to take reasonable risks, so that they could do things they enjoyed and be part of the local community. Environmental risks were assessed and managed to enable people to keep safe. Accidents and incidents were reviewed to help identify lessons learnt and these were shared with staff. Enough trained staff were available to support people.

Where needed people were supported in a safe way to take their prescribed medicine. The staff's suitability to work with people was checked before they commenced employment. People were protected from the risk of infection as staff followed government guidelines regarding Covid 19.

Checks were undertaken to monitor the quality and safety of the service. The views of people using the service and their relatives, staff, and professionals were gathered to help improve the service. The registered manager and staff team worked well with health, social care and criminal justice professionals.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of the Safe and Well Led key questions, the service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. The leadership of the service was provided in an open and inclusive way. This supported a culture that enabled people to live inclusive and empowered lives. People confirmed they were supported to be as independent as they wanted to be and were empowered to make decisions to achieve positive outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 22 December 2020).

Why we inspected

The inspection was prompted in part due to concerns received about risk management. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well Led sections of this full report.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service remains good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Chestnut House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.