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Inspection Summary


Overall summary & rating

Good

Updated 18 October 2018

This inspection took place on the 25 and 26 September 2018 and was unannounced. This was the first inspection of this service since it was registered with its current provider.

Chestnut Court Care Home is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This service is a purpose-built care home spread over three floors, each floor operates as an independent unit. The service provides support with nursing and personal care to older people, many of whom are living with dementia. The service is registered to provide support to a maximum of 62 people and 59 people were using it at the time of our inspection.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place and safeguarding allegations were managed appropriately. Risk assessments provided information about how to support people in a safe manner. Procedures were in place to reduce the risk of the spread of infection. Medicines were managed in a safe manner. Steps had been taken to ensure the physical environment was safe. Lessons were learnt when accidents and incidents occurred.

People’s needs were assessed before they started using the service to determine if those needs could be met. Staff received on-going training to support them in their role and undertook induction training on commencing work at the service. People were able to make choices for themselves and the service operated within the principles of the Mental Capacity Act 2005. People told us they enjoyed the food and that they had enough to eat. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity. Confidentiality was respected and records were held securely.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint. End of life care was managed in an appropriate way.

Staff and people spoke positively about the senior staff at the service. Quality assurance and monitoring systems were in place which included seeking the views of people who used the service. The service worked with other agencies to develop good practice.

Inspection areas

Safe

Good

Updated 18 October 2018

The service was safe. Appropriate safeguarding procedures were in place and staff understood their responsibility for reporting any safeguarding allegations.

Risk assessments were in place which provided information about how to support people in a safe manner.

Checks were carried out to help ensure the premises were safe.

The service had enough staff to support people in a safe manner and robust staff recruitment procedures were in place.

Medicines and infection control practices were managed in a safe way.

Effective

Good

Updated 18 October 2018

The service was effective. People’s needs were assessed before they started using the service. People and their relatives were involved in this process.

Staff undertook regular training to support them in their role. Staff had regular one to one supervision meetings.

The service operated within the principles of the Mental Capacity Act 2005 and people were able to make choices about their care.

People were able to choose what they ate and drank and they told us they had enough to eat.

People were supported to access relevant health care professionals as required.

Caring

Good

Updated 18 October 2018

The service was caring. People told us they were treated with respect by staff and that staff were friendly and caring.

Staff had a good understanding of how to promote people’s dignity, privacy and independence. People’s right to confidentiality was protected.

Responsive

Good

Updated 18 October 2018

The service was responsive. Care plans were in place which set out how to meet people’s assessed needs in a personalised manner. These were subject to regular review.

People were supported to take part in various activities, both in the service and in the community.

People knew how to make a complaint and complaints had been dealt with in line with established procedures.

The service supported people with end of life care in a dignified and caring manner.

Well-led

Good

Updated 18 October 2018

The service was well-led. The service had a registered manager in place. People and staff told us they found senior staff to be supportive and helpful.

Systems were in place for monitoring the quality of care and support at the service. Some of these included seeking the views of people using the service.