The Care Quality Commission
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Chetwynd House

Overall: Good read more about inspection ratings

Slade Road, Chilwell, Nottingham, Nottinghamshire, NG9 4GS (0115) 697 9767

Provided and run by:
Chetwynd House Care Home Limited

All Inspections

During an assessment under our new approach

Date of assessment: 26 May 2026. Chetwynd House is a residential home providing support to people over the age of 18, including those living with dementia. At the time of the assessment, the service was supporting 65 people with their personal care needs.

Chetwynd House was last rated requires improvement (published 3 February 2026).The assessment on 26 May 2026 was carried out to follow up on enforcement action and review the improvements we asked the provider to take to address these concerns. The provider was previously in breach of the legal regulation in relation to safe care and treatment, and quality monitoring and governance. Improvements had been made and the provider was no longer in breach of regulation. This responsive assessment focused on quality statements within safe and well-led. In total 7 quality statements were assessed. The scores for these areas have been combined with scores based on the key question ratings from previous inspections.

Since the previous assessment, there had been clear and sustained improvements across the service, driven by strengthened leadership and a renewed focus on staff development and governance processes. The appointment of a new manager had had a positive impact, with the management team taking proactive steps to upskill staff and enhance systems to ensure people received their medicines safely.

Robust auditing processes were embedded and consistently applied. These audits were effective in identifying areas for improvement and, where concerns were identified, timely action was taken. This included direct engagement with staff to reinforce understanding, provide support, and address any training needs, thereby reducing the likelihood of recurrence and promoting continuous improvement.

Communication within the service had also improved significantly. Daily multidisciplinary meetings were held consistently and included staff from all areas of the home, such as care, kitchen, and maintenance teams. This collaborative approach ensured that important information was shared promptly, enabling staff to respond effectively to people’s needs and prioritise care appropriately.

Overall, these developments demonstrated a cohesive, well-led service with improved oversight, communication, and a strong commitment to delivering safe care.

During an assessment under our new approach

Date of assessment: 6 January 2026. Chetwynd House is a residential home providing support to people over the age of 18, including those living with dementia. At the time of the assessment, the service was supporting 59 people with their personal care needs.

Chetwynd House was last rated requires improvement (published 23 December 2025). The assessment on 6 January 2026 was carried out to follow up on enforcement action and review the improvement we ask the provider to take to address these concerns. This responsive assessment focused on quality statements within safe and well-led. In total 11 quality statements were assessed. The scores for these areas have been combined with scores based on the key question ratings from previous inspections. The provider was previously in breach of the legal regulation in relation to safe care and treatment, infection prevention and control (IPC), medicines management and quality monitoring and governance. Improvements were identified in some areas however the provider remained in breach of regulation relating to safe care and treatment, medicine management and governance.

Medicines were not always managed safely. Since our last assessment improvements had been made to ‘as needed’ medicines, people now received these safely and staff had clear guidance on when and how to support people. However, concerns remained with medicines being administered after their expiry date and the quality monitoring audit did not identify these concerns. Care plans and risk assessments did not always identify known risk of medicines clearly.

The home environment and equipment used were now consistently maintained and cleaned to a high standard. People were supported to transition between services, and access support or additional services in a safe and timely way.

During an assessment under our new approach

Date of assessment: 21 to 27 October 2025. Chetwynd House is a residential care home providing support to adults of all ages including people living with dementia. At the time of the assessment, the service was supporting 68 people with their personal care needs.

Chetwynd House was last rated good, (published 5 November 2021). We undertook this assessment due to concerns raised about medicine management.

We found breaches of the legal regulation in relation to safe care and treatment, infection prevention and control (IPC), medicines management and quality monitoring and governance.

Medicines were not always managed safely. Despite concerns being raised by professionals who worked with the service, quality monitoring processes had not identified or improved issues with medicine over stocking and stock control records. Care plans did not reflect people’s specific health conditions or provide staff with clear and consistent guidance on how people should be supported. Staff did not follow IPC guidelines by wearing personal protective equipment (PPE) such as gloves while supporting people with nutritional needs which posed a risk of cross contamination and spread of infection.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

15 September 2021

During an inspection looking at part of the service

About the service

Chetwynd House Care home is a residential care home providing personal care to 67 people aged 65 and over at the time of the inspection, some of whom were living with dementia. The service can support up to 75 people in a single purpose-built home.

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

Medicines were managed safely, and people received their prescribed medicines on time. Risks were assessed and risk reduction measures were in place. The provider, manager and staff worked to improve the quality of care people received. Infection control measures in place protected people from risk of harm.

Staff were recruited and inducted safely and when issues were found with staff performance the manager and provider acted. People told us they felt supported safely by kind staff. Staff completed safeguarding training and knew what action to take to protect people from abuse.

Quality assurance systems were in place to highlight any shortfalls in the quality of care, new monitoring systems had been introduced following incidents to make further improvements. Lessons had been learnt following incidents and the provider communicated to people and their loved ones when things went wrong. People, relatives and staff told us they felt supported by the management team.

Action was taken when people and staff reported concerns. Staff worked with other health and social care professionals and specialist advice had been sought and followed when needed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 7 September 2019)

Why we inspected

We received concerns in relation to the management of pressure area care, medicines and falls, we undertook a focused inspection to review these risks. This report only covers our findings in relation to the key questions of safe and well-led only. We have found evidence that the provider had made improvements following incidents to protect people from harm. Please see the safe and well-led sections of this full report.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Chetwynd House Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

16 December 2020

During an inspection looking at part of the service

Chetwynd House is a ‘care home’ registered for 75 people providing residential and dementia care. The home consists of three floors. There were five separate care suites, each with its own decorated and furnished lounge, dining facilities and lifestyle kitchen. At the time of our inspection there were 59 people using the service.

We found the following examples of good practice.

At the time of the inspection the service was closed due to an outbreak of COVID -19. However, the provider had developed outdoor facilities to enable people to receive visitors safely when able to do so. Additional staff were being employed to specifically support people and their relatives to safely meet.

The registered manager had kept people and relatives informed of the COVID - 19 outbreak. They had regular contact with relatives of people who had tested positive to the infection to update them of their relation's health and well-being.

Staff had received training and ongoing guidance about COVID - 19 and how to safely provide care and support to people. This included how to use and discard personal protective equipment (PPE) safely. There was a good supply of PPE available to staff.

The management team monitored staff’s compliance with regard to COVID - 19 requirements, such as the wearing of PPE and hand washing.

Staff had weekly COVID - 19 tests and they immediately isolated if they received a positive test, became symptomatic or had been exposed to the infection.

People who used the service were tested for COVID -19 before they transferred to the service and extra precautions were taken on admission. People were isolated for 14 days and had a further COVID -19 test. All people received regular testing as per government guidance.

Cleaning of frequent touch points had been increased and cleaning fluids had been changed in response to COVID -19.

Consideration had been given to how staff had their breaks, respecting social distancing requirements.

The provider had ensured required COVID -19 risk assessments had been completed. The business contingency plan and the infection, prevention and control policy and procedure both reflected COVID -19 guidance and information to ensure people, staff and visitors safety.

The registered manager spoke highly of the commitment, dedication, care and supportive approach of the staff team.

27 June 2019

During a routine inspection

About the service

Chetwynd House is a residential care home providing personal and nursing care to 67 people aged 65 and over at the time of the inspection. The service can support up to 75 people.

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

Systems and processes were in place to ensure people were kept safe. Risks were monitored and managed with robust instructions to support staff to identify risk. Staffing levels were suffice for the number of people living in the home and consideration was given to ensure the right staff skill mix was in place. Medicines were managed in a safe way. People received their medicines as prescribed. Infection control was followed in line with legislation. Accidents and incidents were managed with corrective action taken and lessons learned.

People had their needs assessed, which was reflected in their care plan. Staff were fully supported and received training that provided them with the skills to do their job. People were kept nourished and hydrated as meals and snacks were of a high standard. The provider had connections with the community and had a positive working relationship with other agencies and healthcare professionals. Individual needs around people’s mobility, stimulation and wellbeing was met. Chetwynd House was a lovely warm homely environment, which was calm and relaxing for people. There were clear systems and processes to support people to access healthcare services. The managements and staff understood the principles of the Mental Capacity Act 2005. They ensured best interest and decisions for people were met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were cared for by staff that demonstrated a ‘can do attitude.’ People’s diverse needs were respected. People were supported to make decisions about their care and treatment with the support of an advocate and representative, to ensure people’s voices were heard. People were encouraged to lead an independent lifestyle.

Staff and the management team were passionate and dedicated to achieving positive outcomes for people. There was an open and transparent culture when dealing with complaints. End of life care was discussed with people and their wishes documented. The registered manager researched and developed ways to ensure people were supported when their life had ended.

People and family’s comments of the management of the home were very positive. The provider was following their regulatory requirements. All managers and staff were fully aware of their roles and responsibilities. Care was person centred and people were at the heart of the service. The registered manager and staff worked exceptionally well with healthcare professionals and local authority teams. They used innovative ways to engage with people living in the home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 27/11/2017 and this is the first inspection.

Why we inspected

This was a planned inspection based on the registration of the service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.