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We are carrying out a review of quality at Chestnut House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 23 December 2020

About the service

Chestnut House is a supported living service for people living with a range of care needs, including mental health and learning disability needs. It operates two shared houses where people have access to their own flat and share communal areas. Other people were supported in individual homes. The service was supporting 22 people at the time of the inspection.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People had not always been protected from the risks of infection as staff had not always worn facemasks in line with government guidelines. On occasion, people were not always compatible when sharing accommodation together. Where people’s behaviours had a negative impact on others, the provider took-action to resolve any issues. The provider took steps to promote people’s safety and reduce known risks.

Steps were taken to promote staff safety. Staff were suitable for the role they were employed in and there were sufficient staff to care for people safely. Staff felt well-supported by the management team. Staff were trained to administer medicines safely where people required this.

Safeguarding processes were followed when needed to promote people’s safety, and staff were knowledgeable on these. Any accidents and incidents were reviewed to help identify lessons learnt and these were shared with staff.

The registered manager led with an open and inclusive management style and this helped set a positive and person-centred culture where people were supported to achieve positive outcomes. Arrangements were in place to check and monitor the quality and safety of services. Views of people, staff, relatives and other professionals were gathered to help improve the service. The service worked well with a range of other health, social care and criminal justice professionals.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 4 March 2020).

Why we inspected

This was a focussed inspection. The inspection was prompted in part due to concerns received about risk management. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

We looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Follow up

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

Inspection areas

Safe

Requires improvement

Updated 23 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 23 December 2020

Caring

Good

Updated 23 December 2020

Responsive

Good

Updated 23 December 2020

Well-led

Good

Updated 23 December 2020

The service was well-led.

Details are in our well-led findings below.