Background to this inspection
Updated
20 January 2024
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Chestnut Grove Rest Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Chestnut Grove Rest Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
We used all this information to plan our inspection.
During the inspection
We spoke with 9 people who lived at the service and 7 relatives. We spoke with 7 members of staff including the registered manager and care staff.
We looked at a range of records including 4 care plans and medicine records, 2 staff recruitment files, and policies and procedures. We looked at audits, rotas and health and safety records.
Updated
20 January 2024
About the service
Chestnut Grove Rest Home is a small residential care home providing personal care to up to 12 people. The service provides support to older people. At the time of our inspection there were 12 people using the service. The home has a homely and welcoming atmosphere. It is set over 2 floors and there are comfortable communal areas for people and relatives to use.
People’s experience of using this service and what we found
Some improvements were required around the documenting of medicines, which we have made a recommendation about. Risks to people’s health and wellbeing were assessed, and people were supported by enough staff who knew their needs well. People were protected from the risk of abuse and from the risk of mistakes being repeated, due to effective processes. People felt safe. One person said, “The staff give me lots of reassurance to help me feel secure.” The home was clean and comfortable, with a homely atmosphere.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People spoke highly of the home and enjoyed the food. A person said, “My food is very good and am always asked what I want. If I don’t like what is on offer they will change it.” People were supported to live healthy lives. Rooms were personalised and decorated to a high standard. Staff were well trained. One person said, “It’s only small here, the staff know me well and I know them well.”
Staff were kind and caring, and treated people with dignity and respect. A person said, “It doesn’t get any better when it comes to caring about us all.”
Care plans were person centred and took account of communication needs. There was a robust complaints policy although there had been no recent complaints. People were supported well when at the end of their lives. People took part in a range of activities and events. A person said, “Lots of people come to visit us, people from the church and children from the school.”
People and relatives thought that the home was well run. The registered manager understood their responsibilities regarding risk and wider regulatory requirements. People and their relatives were asked for feedback and staff enjoyed their jobs. Further learning and training was encouraged to benefit the practice and outcomes at the home.
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 the service under the previous provider was outstanding, published on 19 July 2021.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.