Archived: Chesterholm Lodge

Updated 7 July 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, looked at the overall quality of the service, and provided a rating for the service under the Care Act 2014. This was a comprehensive inspection.

The inspection took place on 24 May 2017 and was unannounced. The inspection team consisted of an inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. On this inspection the expert by experience had personal and family experience of services for people with mental health needs.

Before the inspection we reviewed information we had about the service, including previous inspection reports and notifications the provider sent to us. A notification is information about important events which the provider is required to tell us about by law. Before the inspection, the provider completed a Provider Information Return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with seven people who lived at Chesterholm Lodge. We observed care and support people received in the shared areas of the home, including part of two medicines rounds. We spoke with the registered manager, the registered provider, and five members of staff.

We looked at the care plans and associated records of five people, and the medicines record of four people. We reviewed other records, including the provider’s policies and procedures, internal and external checks and audits, quality assurance survey returns, training, appraisal and supervision records, and recruitment records for a member of staff who had started work since our last inspection.

After the inspection we contacted the family member of a person who had previously been helped by the service.

Updated 7 July 2017

Care service description

Chesterholm Lodge is a residential care home for up to 15 people with mental health needs who may also be living with dementia. At the time of this inspection there were 14 people living at the home. People were accommodated in a converted residential house with two shared sitting rooms. There was a garden with a shelter for people who chose to smoke.

Rating at last inspection

At the last inspection, the service was rated good.

Rating at this inspection

At this inspection we found the service remained good.

Why the service is rated good.

The provider had arrangements in place to protect people from risks to their safety and welfare, including the risks of avoidable harm and abuse. Staffing levels and recruitment processes were appropriate to support people safely. There were arrangements in place to store and administer medicines safely and in accordance with people’s preferences.

Staff received training and supervision to maintain and develop their skills and knowledge to support people according to their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were supported to maintain their health and welfare.

Care workers had developed caring relationships with people they supported. People were encouraged to take part in decisions about their care and support and their views were listened to.

Care and support were based on assessments and plans which took into account people’s abilities, needs and preferences. People were able to take part in leisure activities which reflected their interests. People were kept aware of the provider’s complaints procedure.

There was a warm, friendly and home-like atmosphere. Systems were in place to make sure the service was managed efficiently and to monitor and assess the quality of service provided. The provider had made improvements in a number of areas and was now meeting all the fundamental standards of care as described in the regulations.

Further information is in the detailed findings below.