Background to this inspection
Updated
15 April 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
Chestnut Court Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was announced, we gave the provider 48 hours’ notice. This was due to the COVID pandemic. This was to ensure safe systems were in place to protect everyone.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
Some people were not able to fully share with us their experiences of using the service. Therefore, we spent time observing interactions between people and the staff supporting them in communal areas. We reviewed a range of records. This included care records for two people and multiple medicine records. We looked at four staff files in relation to recruitment and observed a medicines round. A variety of records relating to the management of the service, including policies and procedures were also reviewed. We spoke to the registered manager, deputy manager, chef and four care staff.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records. We received feedback from six relatives and seven staff members. We also received feedback from four health and social care professionals.
Updated
15 April 2021
About the service
Chestnut Court Care Home is a residential care home providing personal care to people aged 65 and over. The service can support up to 25 people. When we inspected it was caring for 11 people.
People’s experience of using this service and what we found
People felt safe living at Chestnut Court Care Home, and they were very much at the heart of the service. We received positive feedback from people’s relatives and professionals about the care provided.
Overall, improvements had been made to the management of risks to people and safety monitoring. The provider needed to implement safety measures for the safe management of water and these were already booked in to keep people safe.
There were plans in place for foreseeable emergencies. Staff were able to tell us how to keep people safe.
Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills.
Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.
Medicines administration records (MARs) confirmed people had received their medicines as prescribed.
Staff received support and one to one sessions or supervision to discuss areas of development. They completed training and felt it supported them in their job role.
People were supported with their nutritional needs. People received varied meals including a choice of fresh food and drinks.
Staff had developed positive and caring relationships with people and their families. Staff were highly motivated and demonstrated a commitment to providing the best quality care to people in a compassionate way.
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.
The provider’s quality assurance system helped the management team implement improvements that would benefit people.
There were appropriate management arrangements in place and relatives were very positive about the management in the home.
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 requires improvement (published 05 May 2020) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
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 changed from requires improvement to good. 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 Chestnut Court 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.