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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to assess and monitor the quality of service that people receive and to identify, assess and manage risks to the health, safety and welfare of people who use the service.

Reasons for our judgement

We spoke with the manager who told us that there had been improvements made to ensure compliance in the quality of service provision since the last inspection. We saw documented evidence that there were systems in place, such as weekly health and safety audits, risk assessments, equipment checks and infection control audits. The manager told us that she reviews records and carries out a monthly accident analysis to establish and monitor the causes.

The manager told us that there were no deputy arrangements in place but that she tried to be present or contactable at all times. Staff told us that there was always a senior member of staff on duty, a nurse or the manager to discuss issues and report incidents to. Staff were clear that in the absence of the manager they would refer to the nurse on duty. Staff told us that there were some staff meetings held, but these were not frequent. We spoke with the nurse who was responsible for the staff rotas and she told us how she matched people’s abilities with the work to be done. The provider may wish to note that whilst staff were involved with people’s care overall, on occasion we saw the deployment was not effective. For example, there were five staff gathered watching the singer with the people in the dining room.

The manager told us that she had begun to audit care plans. She said she had audited three plans so far and this work was ongoing. We saw evidence of audits in relation to mattresses, pressure cushion decontamination and first aid equipment.