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Archived: The Chestnuts Nursing and Residential Care Home

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Inspection report

Date of Inspection: 9 April 2013
Date of Publication: 11 May 2013
Inspection Report published 11 May 2013 PDF | 86.79 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 9 April 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

People who use the service were given appropriate information and support regarding their care. We observed staff were confident in attending to people’s needs overall. We saw staff engaged in conversation with people and they addressed people in a clear and appropriate manner. Staff had positive relationships with people and engaged in good hearted banter. People told us that they liked the staff and the care. One person said “they are so good to me and they are kind”. One person said “it’s grand”. The provider may wish to note that on occasion we saw lack of person-centred practice. For example, we noticed that staff had conversations about people rather than speaking with them and that some terminology used by staff was not appropriate. For example, staff referred to tasks as ‘feeds’ and ‘toileting’ and people’s finances as ‘pocket money’.

People were appropriately dressed and some of the women chose to wear make-up and jewellery. People told us that they chose their own personal routine and could get up and go to bed when they liked. People said they could choose the food they wanted to eat and they had drinks when they liked. People said “the food is delicious”. We spoke with the catering staff who told us that people’s choice was very important. They said that they talked to people about their favourite food so this was included in their choices. The provider may wish to note that people said there was no menu on show for them to know what was for lunch.

People told us how they had birthday parties and that their families were invited along to celebrate. The manager told us that every person’s birthday was acknowledged and staff made special occasions of these days. We saw photographs of some recent birthday celebrations.

We saw that staff respected the privacy of people and they knocked on their doors before going into their rooms. Staff were discrete when delivering personal care so as to promote people’s dignity.

The manager told us that there were meetings for people who lived there to express their views and be involved in making decisions. People told us they were consulted about their individual care. We spoke with staff who said they involved people in discussions about their care and respected their decisions. For example, one person preferred to spend most of their time in their room and preferred their own space.

People told us there was enough for them to do. One person said “I like reading and doing crosswords”. Another person said they like to go to church on Sundays with their relatives. We spoke with the activities co-ordinator, who was employed to arrange events for people to enjoy. She told us that people had choices of activities and she tried to match people’s interests to events. Other activities included movement to music, nail care and bingo. On the day of our visit there was a singer, entertaining people. We spoke with care staff who said they did not think people got out and about much, such as on trips, although no-one has asked to.

We spoke with relatives who described the staff as “very nice and helpful”. They said they had “not a bad word about them”. They said that their family member was treated with respect and dignity and their independence was maintained.