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Inspection Summary


Overall summary & rating

Good

Updated 29 January 2019

What life is like for people using this service:

• People enjoyed living at Chepstow House and were cared for by staff who were kind and recognised people’s areas of independence.

• Staff were respectful to the people they cared for and promoted people’s right to dignity and privacy.

• People's, their relatives' and other health and social care professional’s views were listened to when people’s needs were assessed and plans for their care were developed.

• People were supported to enjoy the best health outcomes possible, and staff were proactive in addressing people’s health and well-being needs. Staff advocated for people so they had access to the healthcare they wanted. There were effective ways of working with other health and social care professionals.

• Staff recognised when people’s needs changed and made adjustments, so people continued live at the place they wanted to and to maintain relationships with other people at Chepstow House and staff who were important to them.

• People were confident to make their own day to day decisions and choices; staff supported people to do this when they wanted assistance, by using people’s preferred ways of communicating.

•Staff understood people’s safety needs well and supported them so their individual risks were reduced.

• People were supported to have their medicines safely, by staff who were competent to do this. People’s medicines were regularly checked and reviewed.

•There were sufficient staff to care for people at the times people wanted assistance, and people were supported by staff who knew their preferences well.

•The environment at the home was regularly checked. The risk of infections and accidental harm was reduced, as staff used the knowledge and equipment provided to do this.

• Staff had received specialist training and developed the skills they needed to care for people. This helped staff to provide good care to people.

•Staff supported people to have the nutrition they needed, based on their preferences, so people remained well. Where people required specialist diets, or assistance or equipment when eating and drinking this was provided.

•People were supported to enjoy a range of activities which reflected their interests. This included support to enjoy spending time in the community, doing things they liked and to keep in touch with people who were important to them.

•Systems were in place to take any learning from complaints and to reflect on people’s needs and to further inmove people’s care.

•The registered manager sought suggestions for improving people’s care further. We found suggestions were listened to.

•The registered manager and staff reflected on the care provided, so improvements in people’s care would be driven through. The registered manger planned to continue to develop the facilities at the home and to further develop people’s access to information to enable people to continue to make informed choices about their care.

•We found the service met the characteristics of a “Good” rating in all areas; More information is available in the full report

Rating at last inspection: Good. The last report for Chepstow House was published on 4 August 2016.

About the service: Chepstow House is a is a residential care home, providing personal care and accommodation. There were 14 people living at the home at the time of our inspection. People living at Chepstow House live with dementia, learning disabilities or autistic spectrum disorders, mental health conditions, sensory impairments or physical disabilities. Care and accommodation is offered to older and younger people.

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 29 January 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 29 January 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 29 January 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 29 January 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 29 January 2019

The service was well-led.

Details are in our Well-led findings below.