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Heathcotes Chesterfield (Loundsley House) Inadequate

We are carrying out a review of quality at Heathcotes Chesterfield (Loundsley House). We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating


Updated 8 September 2020

About the service

Heathcotes Chesterfield (Loundsley House) is a residential care home for people with learning disabilities, and/or autism and complex mental health needs. The care is provided in a purpose-built home for 8 people. There were 6 people living at the home at the time of our inspection.

People's experience of using this service and what we found

The outcomes for people using the service didn't reflect the principles and values of Registering the Right Support. The least restrictive options were not always used to protect people from harm. Medicines management was not always picking up potential risks to people’s wellbeing. Risk was not always managed to ensure staff received up to date guidance in supporting people. When incidents occurred, they were not fully reviewed to learn from them and reduce the risk of recurrence.

Staff were not following the government guidance to manage infection control during the Covid 19 pandemic. The provider had not given sufficient guidance and support to ensure this was adhered to. Additional staffing was provided by staff from other locations and the risk of cross contamination across homes had not been sufficiently assessed and addressed.

The systems in place to have oversight of staffing, medicines management and risk to people were not thorough enough to manage and improve the service. Some staff and families felt they could give feedback openly; but others felt the turnover of leadership at the home impacted on maintaining improvements.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The rating at the last inspection was inadequate (published 19 February 2020)

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had been made and the provider was still in breach of regulations.

Why we inspected

We received concerns in relation to the management of medicines, infection control and management in the home. We reviewed the information we held about the service. We completed a risk assessment relating to the Covid19 pandemic that was ongoing at the time this inspection was completed. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. Ratings from previous comprehensive inspections for the other key questions were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Heathcotes Chesterfield (Loundsley House) on our website at


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified continued breaches in relation to risk management, safeguarding people from harm, staffing levels and support, and good governance at this inspection.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service remains in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we

Inspection areas



Updated 8 September 2020

The service was not safe.

Details are in our safe findings below.



Updated 19 February 2020

The service was not effective.

Details are in our effective findings below.


Requires improvement

Updated 19 February 2020

The service was not always caring.

Details are in our caring findings below.


Requires improvement

Updated 19 February 2020

The service was not always responsive.

Details are in our responsive findings below.



Updated 8 September 2020

The service was not well-led.

Details are in our well led findings below.