Background to this inspection
Updated
5 March 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices.
This inspection took place on 09 February 2021 and was unannounced.
Updated
5 March 2021
The Chestnuts Residential Care Home is registered to provide accommodation up to 23 people who require nursing or personal care. At the time of our inspection there were 23 people living at the service. The service is a two storey premises located on the outskirts of Wisbech with accessible garden areas. The service has communal lounges and dining areas. The service has the home has 21 single rooms and one twin room with en-suite toilet and washbasin.
This unannounced comprehensive inspection was undertaken by one inspector and an expert by experience and took place on 18 July 2017. At the previous inspection on 12 March 2015 the service was rated as ‘Good’. At this inspection we found the service remained 'Good'.
A registered manager was in post at the time of the inspection but they were on leave. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff knew what procedures to follow to keep people safe from harm.
Accidents and incidents such as medicines recording, were identified and acted upon when required.
People were supported with the safe management and administered of their prescribed medicines.
Where people had been identified as being at risk, risk assessments such as those for malnutrition and skin integrity were being used to help manage risks effectively.
There were enough competent staff with the right skills to provide people with support when they needed it.
Staff had received appropriate training, support and development to carry out their role effectively.
People were effectively supported with their health care and nutritional needs. Staff supported people to access external health care professionals promptly.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were treated with compassion by staff who respected people's dignity and privacy.
People were given the opportunity to feed back on the service and their views were acted on.
People were offered and took an active part in a wide variety of interests and pastimes that were provided. People's needs were responded to in a person centred way.
The registered manager had had created an inclusive atmosphere within the service and this had fostered an open and honest team culture.
A quality assurance system was in place and this helped identify any shortfalls which were used to help drive improvement in the service.
Further information is in the detailed findings below.