Archived: Chatsworth Grange

Updated 14 September 2018

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

This inspection took place on 14 August 2018 and was unannounced. This meant nobody at the service knew we were coming. This was the first inspection of Chatsworth Grange since the registered provider changed in June 2017.

The inspection team consisted of two adult social care inspectors, a specialist advisor and an expert-by-experience. The specialist advisor had clinical experience of nursing care. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert-by-experience had experience in caring for older people and people living with dementia.

Before this inspection we reviewed information available to us about the service. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed safeguarding alerts and notifications submitted to us by the service. A notification is information about important events that the registered provider is legally required to send us. For example, where a person who uses the service suffers a serious injury. We took this information into account when we inspected the service.

Before this inspection we contacted social care commissioners who help arrange and monitor the care of people living at Chatsworth Grange, community healthcare professionals who visited people living at Chatsworth Grange and Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. No concerns were raised by any of these organisations about the care and support provided to people living at Chatsworth Grange.

During this inspection we spoke with eight people living at Chatsworth Grange and 12 of their relatives. We also spoke with 17 members of staff which included six care assistants, four nurses, three domestic assistants, the cook, the maintenance person, an activity coordinator and the registered manager.

People who lived at Chatsworth Grange used a variety of ways to communicate. During our inspection, we used a method called Short Observational Framework for Inspection (SOFI). This involved observing staff interactions with people in their care. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We looked at five people's care records, a selection of medication administration records and three staff files which included recruitment checks, supervisions, appraisals and training records. We also looked at other records relating to the management of the service, such as quality assurance audits.

We spent time observing the daily life in the service. We observed care and support provided in communal areas and we looked around the building to check environmental safety and cleanliness. This enabled us to determine if people received the care and support they needed in an appropriate environment. With their permission we also looked in several people's bedrooms.

Updated 14 September 2018

This inspection took place on 14 August 2018 and was unannounced. This was the first inspection of this service since the provider changed in June 2017.

Chatsworth Grange is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Chatsworth Grange can accommodate up to 66 people who require accommodation and nursing care. The home consists of one adapted building which is split into four separate units across three floors. The home has a garden which surrounds the property. At the time of our inspection there were 61 people using the service.

There was a registered manager employed at Chatsworth Grange. A registered manager is a person who has registered with the CQC 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.

People living at Chatsworth Grange told us they felt safe. There were enough staff available to care for people safely and we observed staff provide care to people in a timely way.

Staff were kind and caring. They treated people equally and promoted people's cultural and spiritual needs. People were very positive about the staff at Chatsworth Grange and the care they received.

Staff completed a thorough induction and received regular training to support them in their roles. Staff had been provided with safeguarding vulnerable adults training and they had a good understanding of their responsibility to protect people from harm.

There were effective procedures in place for the safe management and administration of medicines. People received their medicines as prescribed.

People's needs were assessed before they moved into Chatsworth Grange and their care was reviewed to help make sure they always received the correct level of care and support. People were supported to have maximum control and choice over their lives and staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice.

People were supported to maintain their health and access a range of community healthcare professionals whilst living at Chatsworth Grange. People received medical attention when needed.

People’s complaints were recorded and responded to, in accordance with the provider’s complaints policy. The registered manager encouraged staff to learn lessons from any complaints received, to try to ensure similar incidents did not occur.

People, their relatives and the staff all spoke highly of the registered manager. Staff told us the registered manager was always available if they needed support.

The registered manager and staff completed regular audits of the service, to make sure action was taken and lessons learned when things went wrong. This meant systems were in place to support the continuous improvement of the service.