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Archived: The Chestnuts Nursing and Residential Care Home

The provider of this service changed - see new profile


Inspection carried out on 9 April 2013

During a routine inspection

We saw people were mostly happy and well cared for in safe premises. People told us they enjoyed living at the home. They said "it's grand". People made choices in their daily lives, such as what they wore, when they got up and what they wanted to eat. People said "the food is delicious" and they chose their own food at mealtimes. We spoke with staff who told us that they knew people's personal preferences . People said staff respected their privacy and dignity. We saw staff that staff attended to people's personal care discretely, they knocked on people's bedroom doors before going in. People attended residents' meetings and gave their views about the service.

People told us they had enough to do. We spoke with the activities co-ordinator who told us that people's personal interests are taken into account when arranging activities. One person said they were looking forward to the singer, who came during the inspection. We noticed the televisions were playing and nobody was watching them. One person told us they did not like the televisions on so much. We saw that on occasion, people had to wait too long in wheelchairs to be appropriately seated , such as for their lunch and to watch the entertainment. We also saw that care records did not sufficiently reflect people's lived experiences or needs and preferences.

We saw that appropriate records were kept to ensure safe running of the home and systems were in place to check the quality of the service.

Inspection carried out on 19 September 2012

During an inspection in response to concerns

We carried out this inspection visit earlier than planned after receiving two separate pieces of information from different sources alleging issues of concern about the service. It was alleged that staffing levels were insufficient, there was a lack of food choice at mealtimes, medication was not stored securely, staff carried out moving and handling and medication duties without the appropriate training, management arrangements were inadequate and issues were not properly addressed.

We spoke with four people who all told us they were able to choose their own routines such as times for getting up and going to bed. People said they made their own decisions and told us staff treated them with respect and helped them to maintain their privacy and dignity.

People told us they had little involvement in discussions about their care and had not been asked for their views and comments about how the service was run and any areas for improvements.

All the people spoken with were complimentary about the care and support they received. People also spoke highly about the quality of food provided.

People said they liked living in the home and felt safe there. They told us they had no concerns.

People told us that although staff were busy there was �always someone about� and requests for assistance were responded to promptly.

A visitor to the home told us they could visit at any time and were made to feel welcome.

Reports under our old system of regulation (including those from before CQC was created)