We carried out a review of the data available to us about Chetwynd House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Chetwynd House, you can give feedback on this 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.
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.
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.