Background to this inspection
Updated
18 March 2021
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.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 3 March 2021 and was announced.
Updated
18 March 2021
The service consists of two separate buildings. Chelston Park can accommodate up to 36 people. 31 bedrooms are for single occupancy of which five can be used as double rooms if people chose to share. Chelston Park provides accommodation with nursing and residential care to older people. Chelston Gardens is a purpose built home which is divided into four distinct units over two floors. Chelston Gardens provides accommodation with nursing care for up to 50 older people who are living with dementia. There are very large and well maintained grounds with ample parking. When we visited there were 79 people using the service.
At the last inspection, the service was rated Good.
At this inspection we found the service had improved to outstanding.
Why the service is rated outstanding
People benefitted from a provider and strong management team who were committed to ensuring they received the best possible care. There were very effective systems in place to continually monitor the service provided and there was a strong emphasis on researching and implementing best practice. People were supported by a highly motivated and very well supported staff team. Staff felt valued and morale was very good. The people who used the service, their representatives and professionals involved with the service spoke very highly of the standards of care provided and of the commitment of the management team.
People remained safe at the home. One person said “Oh yes; I feel very safe here. It’s very nice.” Another person told us “I feel safe, secure and well looked after.” A visitor told us “I have no concerns at all. I go to bed at night knowing that my [relative] is safe, warm and well cared for.” Another visitor said “I can walk away from here and not have to worry about a thing.”
People were supported by adequate numbers of staff who had the skills and knowledge to meet their needs. Staff knew how to protect people from the risk of harm and abuse. Risks to people were reduced because there were systems in place to identify and manage risks such as reducing the risk of falls, assisting people to mobilise and reducing risks to people who were at high risk of malnutrition and pressure damage to their skin.
People continued to receive effective care. People benefitted from a staff team who had the skills. knowledge and training to meet their needs. One person told us “I think the staff here are marvellous. They know what they are doing. A relative said “The staff are amazing. I know they get excellent training here.” People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. One person told us “Staff never tell me what to do. They ask me what I want to do.” Another person said “I can do as I please.” People’s health care needs were monitored and met.
The home continued to provide an outstandingly caring service to people. People were supported by a staff team who were happy in their work and who were committed to ensuring people received the best possible care. People and their relatives spoke highly of the staff team. One person told us “The staff are lovely. Very kind indeed.” One relative told us “They are marvellous. [Name of person] is my world and they know that. They are so kind and attentive. I am blessed [name of person] is cared for here.” Another relative said “The staff are all wonderful and they really do care. I honestly can’t think of anything they could do better.” A member of staff said “This is the best place I have ever worked. Really. I think our residents get a very high standard of care and we all really care about them and their families.”
The home continued to provide a responsive service. The registered managers ensured the home could meet people’s needs and aspirations before they moved there. A relative told us “[Name of one of the registered managers] came to meet [name of person]. They were lovely and wanted to know all about them and how they could help. It was very reassuring.” People and their representatives were involved in planning and reviewing the care they received. Activity staff and external entertainers provided people with a varied activity programme and there were strong links with the local community.
Further information is in the detailed findings below