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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 get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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 needs were not assessed and care was not planned and delivered in line with their individual care plan.

Reasons for our judgement

We looked at the care records for four people. Information was filed in an orderly way with clearly indexed pages. However, we noticed that information in the care records did not adequately consider all aspects of people’s individual circumstances or reflect their changing needs. For example, one person was without their hearing-aid because this was being repaired, but there was nothing in their care records to show what was being done about this to meet the person’s needs. Another person, who was unable to communicate verbally, showed signs of being distressed and agitated at lunchtime. Staff arranged for them to have their lunch by themselves in another room. We checked the care records which showed that the person enjoyed the company of staff and other people. This person’s experiences were not in keeping with their care records and did not illustrate a person-centred approach to their care.

At times, we saw that some people had to wait a long time before being attended to. For example, one person sat in the hallway in a wheelchair for ten minutes before being taken into the dining room for lunch. We saw other people wait up to half an hour in the dining room before their meal. People we spoke with said they had been waiting for too long in the dining room. One person was assisted into a wheelchair to go to watch the entertainment in the afternoon but was then left waiting for ten minutes without being given any explanation. This meant that people’s needs and rights were not fully protected. We spoke with the manager who explained that there are a lot of people who need assistance and so getting everyone seated for lunch or entertainment can take a long time.

We saw that whilst the activities coordinator helped people to make some choices about their daytime activities, the televisions were constantly playing and nobody was watching them. People were unable to watch their choice of programme. For example, one person said that they enjoyed watching sport but this was not seen to be showing on the television. One person told us that the television is positioned next to their chair so they cannot see it and another said they did not like the television on.

We spoke with staff and found that they knew people’s individual personalities and preferences. Staff said they knew each person very well and were aware when there were changes to their health or wellbeing. Staff were clear about what to do and who they would inform if such changes gave rise to concerns. Staff said that they sometimes shared people’s care plans with them and people we spoke with confirmed this.